STEPHANIE MARIE SHORS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040935

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

MARIE

Last Name

SHORS

Suffix

Business Name

STEPHANIE MARIE SHORS MD

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006