SHANE MICHAEL PEARCE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059496

License Status

EXPIRED

Business

Title

First Name

SHANE

Middle

MICHAEL

Last Name

PEARCE

Business Name

SHANE MICHAEL PEARCE MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/13/2015