SHAKEILLA LAVERN SHABAZZ - Medical Doctor License in Texas | # 036156674

SHAKEILLA LAVERN SHABAZZ

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156674

License Status

NOT RENEWED

Business

N

First Name

SHAKEILLA

Middle

LAVERN

Last Name

SHABAZZ

Business Name

SHAKEILLA LAVERN SHABAZZ

Original Issue Date

04/23/2021

Effective Date

04/23/2021

Expiration Date

07/31/2023

State

TX

Ever Disciplined

N

LastModifiedDate

11/30/2023