DAVID JAY SHULAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

DAVID JAY

Last Name

SHULAN

Suffix

Business Name

DAVID JAY SHULAN MD

Original Issue Date

04/14/1982

Effective Date

04/14/1982

Expiration Date

07/31/1984

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006