PATRICK MICHAEL SHEA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056723

License Status

CANCELLED

Business

Title

First Name

PATRICK

Middle

MICHAEL

Last Name

SHEA

Business Name

PATRICK MICHAEL SHEA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/26/2009