TRUDY MIKHAIL SHADY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089376

License Status

ACTIVE

Business

First Name

TRUDY MIKHAIL

Last Name

SHADY

Suffix

Business Name

TRUDY MIKHAIL SHADY MD

Original Issue Date

08/09/1994

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

06/14/2023