ANTHONY M SHADID - Medical Doctor License in Illinois | # 125042425

ANTHONY M SHADID

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042425

License Status

EXPIRED

Business

N

First Name

ANTHONY

Middle

M

Last Name

SHADID

Business Name

ANTHONY M SHADID

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006