JEN-FONG SHEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021689

License Status

EXPIRED

Business

First Name

JEN-FONG

Last Name

SHEN

Suffix

Business Name

JEN-FONG SHEN MD

Original Issue Date

08/19/1987

Effective Date

08/19/1987

Expiration Date

08/12/1990

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006