NINA KIYOMI SHEADE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153706

License Status

ACTIVE

Business

Title

First Name

NINA

Middle

KIYOMI

Last Name

SHEADE

Business Name

NINA KIYOMI SHEADE MD

Original Issue Date

07/14/2020

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

04/13/2023