LISA YAO SHEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060182

License Status

CANCELLED

Business

Title

First Name

LISA

Middle

YAO

Last Name

SHEN

Business Name

LISA YAO SHEN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Dermatology

Ever Disciplined

LastModifiedDate

04/04/2014