KATHERINE SHAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156072

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Last Name

SHAUM

Business Name

KATHERINE SHAUM MD

Original Issue Date

03/16/2021

Effective Date

03/16/2021

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

Ever Disciplined

LastModifiedDate

11/30/2023