LISA MARIE SHEPPARD MD - Medical Doctor License in New Jersey | # 036124059

LISA MARIE SHEPPARD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124059

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

MARIE

Last Name

SHEPPARD

Suffix

MD

Business Name

LISA MARIE SHEPPARD MD

Original Issue Date

07/21/2009

Effective Date

04/12/2017

Expiration Date

09/30/2020

State

NJ

Ever Disciplined

N

LastModifiedDate

01/14/2021