ANDREA N SHOGAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053376

License Status

EXPIRED

Business

Title

First Name

ANDREA

Middle

Last Name

SHOGAN

Business Name

ANDREA N SHOGAN MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

08/29/2012