DANIEL HERSCHEL SHIBA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055276

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

HERSCHEL

Last Name

SHIBA

Business Name

DANIEL HERSCHEL SHIBA MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011