SHANTAY DANIELLE THOMAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146063

License Status

ACTIVE

Business

Title

First Name

SHANTAY

Middle

DANIELLE

Last Name

THOMAS

Business Name

SHANTAY DANIELLE THOMAS MD

Original Issue Date

05/10/2018

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023