JANET MARIE SHACKELFORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016643

License Status

EXPIRED

Business

First Name

JANET

Middle

MARIE

Last Name

SHACKELFORD

Suffix

Business Name

JANET MARIE SHACKELFORD MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006