KATHRYN THERESE SHAHWAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064553

License Status

EXPIRED

Business

Title

First Name

KATHRYN

Middle

THERESE

Last Name

SHAHWAN

Business Name

KATHRYN THERESE SHAHWAN MD

Original Issue Date

06/22/2014

Effective Date

06/22/2014

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015