JAY ROBERT SHEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

JAY

Middle

ROBERT

Last Name

SHEN

Business Name

JAY ROBERT SHEN DO

Original Issue Date

07/26/2022

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023