SHANNON MARIE EWING MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035864

License Status

EXPIRED

Business

First Name

SHANNON

Middle

MARIE

Last Name

EWING

Suffix

Business Name

SHANNON MARIE EWING MD

Original Issue Date

05/08/1997

Effective Date

05/08/1997

Expiration Date

06/15/1998

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006