ERIC FRANCIS SHAPPELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063121

License Status

CANCELLED

Business

First Name

ERIC

Middle

FRANCIS

Last Name

SHAPPELL

Suffix

Business Name

ERIC FRANCIS SHAPPELL MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014