SHAWN M DELATER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071276

License Status

NOT RENEWED

Business

First Name

SHAWN M

Last Name

DELATER

Business Name

SHAWN M DELATER

Original Issue Date

07/23/1985

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017