MICHAEL DUANE SHEPHERD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062513

License Status

NOT RENEWED

Business

First Name

MICHAEL DUANE

Last Name

SHEPHERD

Suffix

Business Name

MICHAEL DUANE SHEPHERD MD

Original Issue Date

07/10/1981

Effective Date

07/10/1981

Expiration Date

07/31/1987

City

LOWER LAKE

State

Zip

95947

Ever Disciplined

LastModifiedDate

01/05/2012