PATRICIA ANNE SHANAHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036374

License Status

CANCELLED

Business

First Name

PATRICIA

Middle

ANNE

Last Name

SHANAHAN

Suffix

Business Name

PATRICIA ANNE SHANAHAN MD

Original Issue Date

05/29/1997

Effective Date

05/29/1997

Expiration Date

06/30/2003

City

AURORA

State

Zip

60504

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006