SHELLY M COOK - Medical Doctor License in Illinois | # 125043038

SHELLY M COOK

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043038

License Status

EXPIRED

Business

N

First Name

SHELLY

Middle

M

Last Name

COOK

Business Name

SHELLY M COOK

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006