JOSEFINA DIAZ SHEN 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

JOSEFINA

Middle

DIAZ

Last Name

SHEN

Suffix

Business Name

JOSEFINA DIAZ SHEN MD

Original Issue Date

04/03/2008

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014