CORY SHEA HALLIBURTON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

CANCELLED

Business

First Name

CORY

Middle

SHEA

Last Name

HALLIBURTON

Suffix

Business Name

CORY SHEA HALLIBURTON MD

Original Issue Date

11/17/2006

Effective Date

11/17/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008