MORTON SHANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032907

License Status

NOT RENEWED

Business

Title

First Name

MORTON

Last Name

SHANE

Business Name

MORTON SHANE MD

Original Issue Date

09/20/1954

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

LOS ANGELES

State

Zip

90067

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017