SHELLY L BYWATER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025169

License Status

EXPIRED

Business

First Name

SHELLY L

Last Name

BYWATER

Suffix

Business Name

SHELLY L BYWATER MD

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006