MARK CHRISTOPHER SHIELDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053792

License Status

NOT RENEWED

Business

First Name

MARK CHRISTOPHER

Last Name

SHIELDS

Suffix

Business Name

MARK CHRISTOPHER SHIELDS MD

Original Issue Date

10/14/1976

Effective Date

03/27/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021