STEVEN THOMAS SHABA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049533

License Status

CANCELLED

Business

First Name

STEVEN

Middle

THOMAS

Last Name

SHABA

Suffix

Business Name

STEVEN THOMAS SHABA MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/24/2008