JENNIFER LYNN SHASHEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

SHASHEK

Business Name

JENNIFER LYNN SHASHEK MD

Original Issue Date

03/06/2006

Effective Date

03/06/2006

Expiration Date

07/31/2008

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011