VERLAINNA C SHAW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038129

License Status

EXPIRED

Business

First Name

VERLAINNA

Middle

Last Name

SHAW

Suffix

Business Name

VERLAINNA C SHAW MD

Original Issue Date

06/01/1998

Effective Date

06/01/1998

Expiration Date

06/24/2001

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006