SHEA MICHAEL PRIBYL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

Title

First Name

SHEA

Middle

MICHAEL

Last Name

PRIBYL

Business Name

SHEA MICHAEL PRIBYL DO

Original Issue Date

12/16/2013

Effective Date

12/16/2013

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017