SHIRLEY LEE TERMOLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

SHIRLEY LEE

Last Name

TERMOLEN

Suffix

Business Name

SHIRLEY LEE TERMOLEN MD

Original Issue Date

01/20/1998

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60604

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023