SHALAKO LEE DENISON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059639

License Status

EXPIRED

Business

Title

First Name

SHALAKO

Middle

LEE

Last Name

DENISON

Business Name

SHALAKO LEE DENISON MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/04/2015