SHANE MARTIN MEEHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093846

License Status

NOT RENEWED

Business

First Name

SHANE MARTIN

Last Name

MEEHAN

Suffix

Business Name

SHANE MARTIN MEEHAN MD

Original Issue Date

08/01/1996

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017