ANTHONY M SHADID Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110822

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

Last Name

SHADID

Business Name

ANTHONY M SHADID

Original Issue Date

02/17/2004

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

Ever Disciplined

LastModifiedDate

03/03/2025