THOMAS J SHAKNOVSKY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130187

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

SHAKNOVSKY

Suffix

Business Name

THOMAS J SHAKNOVSKY DO

Original Issue Date

04/23/2012

Effective Date

11/26/2019

Expiration Date

09/30/2020

City

DOTHAN

State

Zip

36301

County

ALABAMA

Ever Disciplined

LastModifiedDate

01/14/2021