SHANE METOYER HARRISON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077794

License Status

CANCELLED

Business

Title

First Name

SHANE

Middle

METOYER

Last Name

HARRISON

Business Name

SHANE METOYER HARRISON DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/25/2025