AMANDA RAYE SHAUB MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062999

License Status

EXPIRED

Business

First Name

AMANDA

Middle

RAYE

Last Name

SHAUB

Suffix

Business Name

AMANDA RAYE SHAUB MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

03/13/2015