ANNA KONSTANTINOVNA SHMAGEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056950

License Status

CANCELLED

Business

Title

First Name

ANNA

Middle

KONSTANTINOVNA

Last Name

SHMAGEL

Business Name

ANNA KONSTANTINOVNA SHMAGEL MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2009