SHANE THOMAS SEROYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120948

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

THOMAS

Last Name

SEROYER

Suffix

Business Name

SHANE THOMAS SEROYER MD

Original Issue Date

05/20/2008

Effective Date

05/20/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011