ANDREA H SHASHOUA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041362

License Status

CANCELLED

Business

First Name

ANDREA

Middle

Last Name

SHASHOUA

Business Name

ANDREA H SHASHOUA

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006