NINA KIYOMI SHEADE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071907

License Status

CANCELLED

Business

Title

First Name

NINA

Middle

KIYOMI

Last Name

SHEADE

Business Name

NINA KIYOMI SHEADE MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/10/2018