ELLEN PAULINE SHEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058384

License Status

EXPIRED

Business

First Name

ELLEN

Middle

PAULINE

Last Name

SHEN

Suffix

Business Name

ELLEN PAULINE SHEN DO

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/07/2013