SHAUNA ROSALIE CAMPBELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068086

License Status

EXPIRED

Business

Title

First Name

SHAUNA

Middle

ROSALIE

Last Name

CAMPBELL

Business Name

SHAUNA ROSALIE CAMPBELL DO

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

09/19/2017