SHANE MYLES MILU DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065199

License Status

EXPIRED

Business

Title

First Name

SHANE

Middle

MYLES

Last Name

MILU

Business Name

SHANE MYLES MILU DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/02/2019