SHANE S PAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102873

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

PAK

Suffix

Business Name

SHANE S PAK MD

Original Issue Date

06/27/2000

Effective Date

06/27/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006