SHELLEY FIRESTONE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060111

License Status

ACTIVE

Business

First Name

SHELLEY

Last Name

FIRESTONE

Suffix

Business Name

SHELLEY FIRESTONE MD

Original Issue Date

03/13/1980

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2023