SHANNON K NOURBASH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037000

License Status

EXPIRED

Business

First Name

SHANNON

Middle

Last Name

NOURBASH

Suffix

Business Name

SHANNON K NOURBASH MD

Original Issue Date

06/30/1997

Effective Date

06/30/1997

Expiration Date

06/26/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006