SHELBIE DANIELLE WADDLE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084651

License Status

ACTIVE

Business

Title

First Name

SHELBIE

Middle

DANIELLE

Last Name

WADDLE

Business Name

SHELBIE DANIELLE WADDLE DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/16/2024