SHANNON HILLMAN SMALLEY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041533

License Status

EXPIRED

Business

First Name

SHANNON

Middle

HILLMAN

Last Name

SMALLEY

Suffix

Business Name

SHANNON HILLMAN SMALLEY DO

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/30/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006