BEVERLY E SHA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020016

License Status

EXPIRED

Business

First Name

BEVERLY E

Last Name

SHA

Suffix

Business Name

BEVERLY E SHA MD

Original Issue Date

07/07/1986

Effective Date

07/07/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006