JENNIFER SHEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047858

License Status

EXPIRED

Business

First Name

JENNIFER

Last Name

SHEN

Suffix

Business Name

JENNIFER SHEN MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006