ANNETTE V SHORES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026880

License Status

EXPIRED

Business

Title

First Name

ANNETTE

Middle

Last Name

SHORES

Business Name

ANNETTE V SHORES MD

Original Issue Date

05/22/1991

Effective Date

05/22/1991

Expiration Date

06/30/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006