SHAWN M DELATER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

SHAWN M

Last Name

DELATER

Business Name

SHAWN M DELATER

Original Issue Date

10/11/1985

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017