GHAITH H SHAAYA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065359

License Status

CANCELLED

Business

First Name

GHAITH

Middle

Last Name

SHAAYA

Suffix

Business Name

GHAITH H SHAAYA MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/16/2014