NICHOLAS JOSEPH SHEA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050945

License Status

CANCELLED

Business

First Name

NICHOLAS

Middle

JOSEPH

Last Name

SHEA

Suffix

Business Name

NICHOLAS JOSEPH SHEA MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006