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Annette V. Shores, M.D.

General Surgery · Mount Vernon, IL

UnclaimedM.D.NPI 1912903857
Primary taxonomy
208600000X
Enumerated
2005-06-24
Practice location
Mount Vernon, IL
Last NPPES update
2014-01-08

State licenses

  • IL · Physician · LICENSED PHYSICIAN AND SURGEONExpiredthrough 2020
  • IL · Resident physician · TEMPORARY MEDICAL PERMITExpiredthrough 1996

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.