JOSEFINA DIAZ SHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117976

License Status

NOT RENEWED

Business

First Name

JOSEFINA

Middle

DIAZ

Last Name

SHEN

Suffix

Business Name

JOSEFINA DIAZ SHEN MD

Original Issue Date

03/30/2007

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014