JAY ROBERT SHEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074837

License Status

EXPIRED

Business

Title

First Name

JAY

Middle

ROBERT

Last Name

SHEN

Business Name

JAY ROBERT SHEN DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/11/2019