SHAUNTELL JEAN SOLOMON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046257

License Status

EXPIRED

Business

First Name

SHAUNTELL

Middle

JEAN

Last Name

SOLOMON

Suffix

Business Name

SHAUNTELL JEAN SOLOMON DO

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

07/03/2007