MATTHEW WILLIAM SHORE MD - Medical Doctor License in Wisconsin | # 125062806

MATTHEW WILLIAM SHORE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062806

License Status

EXPIRED

Business

N

Title

MD

First Name

MATTHEW

Middle

WILLIAM

Last Name

SHORE

Business Name

MATTHEW WILLIAM SHORE MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2014

State

WI

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/13/2015