SHAWN M DELATER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017743

License Status

EXPIRED

Business

First Name

SHAWN M

Last Name

DELATER

Business Name

SHAWN M DELATER

Original Issue Date

12/17/1984

Effective Date

12/17/1984

Expiration Date

07/02/1986

City

OAKLAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006