SEAN J SHAHLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029539

License Status

EXPIRED

Business

First Name

SEAN J

Last Name

SHAHLA

Business Name

SEAN J SHAHLA

Original Issue Date

05/10/1993

Effective Date

05/10/1993

Expiration Date

06/30/1996

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006