SERENE SHASHAA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045396

License Status

EXPIRED

Business

First Name

SERENE

Last Name

SHASHAA

Business Name

SERENE SHASHAA

Original Issue Date

07/26/2002

Effective Date

07/26/2002

Expiration Date

07/25/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006