Shane Gardner Do
InactiveIllinois license 125079631
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 125079631
- Status
- Inactive (Cancelled)
- First issued
- June 20, 2022
- Expired
- June 19, 2025
- License holder
- Shane Gardner
- Entity type
- Individual
Classifications
- Temporary Medical Permit Physicians & Surgeons
More from the license record
- Specialty
- Emergency Medicine
- Current term began
- 06/20/2022
Other Illinois licenses under this name
-
IL
ActiveOak Lawn, ILExpires Jul 31, 2029
-
IL
ExpiredChicago, ILExpired Aug 31, 2022
-
IL
Shane Gardner DoLicense 33*****14 · Shane GardnerLicensed Physician Controlled Substance (Medical Board)ActiveOak Lawn, ILExpires Jul 31, 2029
Contact
Oak Lawn, IL 60453
Cook County