GREGORY GIANCARLO SHASKAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

GIANCARLO

Last Name

SHASKAN

Suffix

Business Name

GREGORY GIANCARLO SHASKAN MD

Original Issue Date

10/06/2006

Effective Date

05/23/2008

Expiration Date

07/31/2011

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011