YELENA N SHANCHUK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048582

License Status

CANCELLED

Business

First Name

YELENA

Middle

Last Name

SHANCHUK

Suffix

Business Name

YELENA N SHANCHUK MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006