SHAUNA S KINCHELOE-ZAREN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045332

License Status

EXPIRED

Business

Title

First Name

SHAUNA

Middle

Last Name

KINCHELOE-ZAREN

Business Name

SHAUNA S KINCHELOE-ZAREN MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006