SHELLY M MENOLASCINO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

SHELLY M

Last Name

MENOLASCINO

Business Name

SHELLY M MENOLASCINO

Original Issue Date

02/28/1986

Effective Date

02/28/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006