JONATHAN B SHOOK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

SHOOK

Business Name

JONATHAN B SHOOK

Original Issue Date

02/22/2006

Effective Date

02/22/2006

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011