JODI A SHIELDS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024024

License Status

EXPIRED

Business

First Name

JODI A

Last Name

SHIELDS

Suffix

Business Name

JODI A SHIELDS MD

Original Issue Date

06/06/1989

Effective Date

06/06/1989

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006