MICHAEL BRYAN SHANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127547

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

BRYAN

Last Name

SHANE

Business Name

MICHAEL BRYAN SHANE MD

Original Issue Date

04/12/2011

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023