TINA ANNE MARIE SHENOUDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

TINA

Middle

ANNE MARIE

Last Name

SHENOUDA

Business Name

TINA ANNE MARIE SHENOUDA MD

Original Issue Date

09/05/2014

Effective Date

09/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020