RONALD J SHADE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

RONALD J

Last Name

SHADE

Suffix

Business Name

RONALD J SHADE MD

Original Issue Date

04/14/1998

Effective Date

04/14/1998

Expiration Date

07/31/2005

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020