BRIGID COLLEEN SHIELDS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071502

License Status

CANCELLED

Business

Title

First Name

BRIGID

Middle

COLLEEN

Last Name

SHIELDS

Business Name

BRIGID COLLEEN SHIELDS DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/23/2017