CHARLES HERMAN SHAIOVA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

CANCELLED

Business

First Name

CHARLES HERMAN

Last Name

SHAIOVA

Suffix

Business Name

CHARLES HERMAN SHAIOVA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006