LAURA GUANGYING SHU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062602

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

GUANGYING

Last Name

SHU

Business Name

LAURA GUANGYING SHU MD

Original Issue Date

06/19/2013

Effective Date

06/19/2013

Expiration Date

06/18/2016

City

ENVASTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014