LYTITIA M F SHEA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

LYTITIA M

Middle

Last Name

SHEA

Suffix

Business Name

LYTITIA M F SHEA MD

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008