JAMES WILLIAM KELLERSHABROKH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131970

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

WILLIAM

Last Name

KELLERSHABROKH

Business Name

JAMES WILLIAM KELLERSHABROKH DO

Original Issue Date

01/29/2013

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017