LAURA GUANGYING SHU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

LAURA

Middle

GUANGYING

Last Name

SHU

Business Name

LAURA GUANGYING SHU MD

Original Issue Date

09/01/2015

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

ENVASTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023