GARY A SHANGOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066896

License Status

NOT RENEWED

Business

First Name

GARY A

Last Name

SHANGOLD

Suffix

Business Name

GARY A SHANGOLD MD

Original Issue Date

07/15/1983

Effective Date

07/15/1983

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006