MICHAEL SHANKS DO - Medical Doctor License in Indiana | # 125061325

MICHAEL SHANKS DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061325

License Status

EXPIRED

Business

N

Title

DO

First Name

MICHAEL

Last Name

SHANKS

Business Name

MICHAEL SHANKS DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

State

IN

Specialty/Qualifier

Urological Surgery

Ever Disciplined

N

LastModifiedDate

10/25/2018