MICHAEL SHANE MCGUIRE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025110

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

SHANE

Last Name

MCGUIRE

Suffix

Business Name

MICHAEL SHANE MCGUIRE MD

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/19/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006