COLIN A SHANKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016474

License Status

EXPIRED

Business

First Name

COLIN A

Last Name

SHANKS

Suffix

Business Name

COLIN A SHANKS MD

Original Issue Date

03/08/1984

Effective Date

03/08/1984

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006