SHANNON K FIELDS MD - Medical Doctor License in Georgia | # 036099523

SHANNON K FIELDS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099523

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

K

Last Name

FIELDS

Suffix

MD

Business Name

SHANNON K FIELDS MD

Original Issue Date

01/19/1999

Effective Date

01/19/1999

Expiration Date

07/31/2002

State

GA

Ever Disciplined

N

LastModifiedDate

10/09/2006