SHAUNA S KINCHELOE-ZAREN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

SHAUNA

Middle

Last Name

KINCHELOE-ZAREN

Business Name

SHAUNA S KINCHELOE-ZAREN MD

Original Issue Date

04/14/2005

Effective Date

03/21/2013

Expiration Date

07/31/2014

City

NORTHFIELD

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017