IVAN H SHILS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

IVAN H

Last Name

SHILS

Suffix

Business Name

IVAN H SHILS MD

Original Issue Date

01/01/1997

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014