SHAUN MICHAEL DEESE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061090

License Status

CANCELLED

Business

First Name

SHAUN

Middle

MICHAEL

Last Name

DEESE

Suffix

Business Name

SHAUN MICHAEL DEESE MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/30/2015