RONALD J SHADE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027858

License Status

EXPIRED

Business

First Name

RONALD J

Last Name

SHADE

Suffix

Business Name

RONALD J SHADE MD

Original Issue Date

05/04/1992

Effective Date

05/04/1992

Expiration Date

06/22/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006