SHAUN T ITTIARA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127360

License Status

ACTIVE

Business

First Name

SHAUN

Middle

Last Name

ITTIARA

Suffix

Business Name

SHAUN T ITTIARA MD

Original Issue Date

03/17/2011

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2023