JOHN SHOCKEY EBERSOLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101694

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

SHOCKEY

Last Name

EBERSOLE

Suffix

Business Name

JOHN SHOCKEY EBERSOLE MD

Original Issue Date

12/09/1999

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014