SHIRLEY LEE TERMOLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

SHIRLEY LEE

Last Name

TERMOLEN

Suffix

Business Name

SHIRLEY LEE TERMOLEN MD

Original Issue Date

01/26/1998

Effective Date

01/26/1998

Expiration Date

07/31/2002

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020