SHAWN S WALLERY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055297

License Status

EXPIRED

Business

Title

First Name

SHAWN S

Last Name

WALLERY

Business Name

SHAWN S WALLERY MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

07/19/2011