JADE JIAH SHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

JADE

Middle

JIAH

Last Name

SHA

Suffix

Business Name

JADE JIAH SHA MD

Original Issue Date

07/09/2003

Effective Date

07/09/2003

Expiration Date

07/31/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008