SHANA LEAH MARGOLIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046249

License Status

EXPIRED

Business

First Name

SHANA

Middle

LEAH

Last Name

MARGOLIS

Suffix

Business Name

SHANA LEAH MARGOLIS MD

Original Issue Date

06/22/2003

Effective Date

06/22/2003

Expiration Date

06/21/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006