SHAWN ASHLEY KACKER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070942

License Status

CANCELLED

Business

Title

First Name

SHAWN

Middle

ASHLEY

Last Name

KACKER

Business Name

SHAWN ASHLEY KACKER DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

01/06/2020