PHILIP H SHAYNE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023295

License Status

EXPIRED

Business

First Name

PHILIP H

Last Name

SHAYNE

Suffix

Business Name

PHILIP H SHAYNE MD

Original Issue Date

04/19/1989

Effective Date

04/19/1989

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006