JOANNA CHRISTINE SHEPHERD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060307

License Status

CANCELLED

Business

Title

First Name

JOANNA

Middle

CHRISTINE

Last Name

SHEPHERD

Business Name

JOANNA CHRISTINE SHEPHERD MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

EL DORADO HILLS

State

Zip

95762

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

06/16/2011