MARION P SHORT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091761

License Status

NOT RENEWED

Business

First Name

MARION P

Last Name

SHORT

Business Name

MARION P SHORT

Original Issue Date

09/01/1995

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011