JONATHAN B SHOOK - Medical Doctor License in Indiana | # 036113794

JONATHAN B SHOOK

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113794

License Status

NOT RENEWED

Business

N

First Name

JONATHAN

Middle

B

Last Name

SHOOK

Business Name

JONATHAN B SHOOK

Original Issue Date

05/25/2005

Effective Date

06/17/2008

Expiration Date

07/31/2011

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2011