SHANNON M DEATON Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****94

License Status

CANCELLED

Business

First Name

SHANNON M

Last Name

DEATON

Business Name

SHANNON M DEATON

Original Issue Date

08/05/1996

Effective Date

08/05/1996

Expiration Date

01/31/2001

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006