GERALDINE SHANGREAU Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000432

License Status

NOT RENEWED

Business

First Name

GERALDINE

Last Name

SHANGREAU

Business Name

GERALDINE SHANGREAU

Original Issue Date

12/08/1990

Effective Date

12/08/1990

Expiration Date

03/01/1994

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006