PAUL ERIC SHATTUCK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059679

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

ERIC

Last Name

SHATTUCK

Business Name

PAUL ERIC SHATTUCK MD

Original Issue Date

06/25/2011

Effective Date

06/25/2011

Expiration Date

06/24/2014

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/25/2011