BRIAN PATRICK SHORTAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111585

License Status

ACTIVE

Business

First Name

BRIAN

Middle

PATRICK

Last Name

SHORTAL

Suffix

Business Name

BRIAN PATRICK SHORTAL MD

Original Issue Date

06/09/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

04/07/2023