PAUL ERIC SHATTUCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

ERIC

Last Name

SHATTUCK

Business Name

PAUL ERIC SHATTUCK MD

Original Issue Date

03/07/2014

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017