SHAMECKA NICOLA EDWARDS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063486

License Status

CANCELLED

Business

Title

First Name

SHAMECKA

Middle

NICOLA

Last Name

EDWARDS

Business Name

SHAMECKA NICOLA EDWARDS MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60609

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014