DANIEL R SHOOK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027153

License Status

EXPIRED

Business

First Name

DANIEL R

Last Name

SHOOK

Suffix

Business Name

DANIEL R SHOOK MD

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006