DAVID W SHOEMAKER JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016876

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

SHOEMAKER

Suffix

JR MD

Business Name

DAVID W SHOEMAKER JR MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006