SETH PHILIP SHIFRIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111679

License Status

NOT RENEWED

Business

First Name

SETH

Middle

PHILIP

Last Name

SHIFRIN

Suffix

Business Name

SETH PHILIP SHIFRIN MD

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

07/31/2005

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006