SHAWN L LAFERRIERE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041473

License Status

EXPIRED

Business

First Name

SHAWN

Middle

Last Name

LAFERRIERE

Suffix

Business Name

SHAWN L LAFERRIERE DO

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006