GEORGE ELMER SHAMBAUGH III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

GEORGE ELMER

Last Name

SHAMBAUGH III

Suffix

Business Name

GEORGE ELMER SHAMBAUGH III MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011