THOMAS J SHAKNOVSKY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055993

License Status

CANCELLED

Business

First Name

THOMAS

Middle

Last Name

SHAKNOVSKY

Suffix

Business Name

THOMAS J SHAKNOVSKY DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/01/2009