LAURA K SHEA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019943

License Status

EXPIRED

Business

First Name

LAURA K

Last Name

SHEA

Suffix

Business Name

LAURA K SHEA MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

06/24/1989

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006