TIMOTHY S SHINE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070621

License Status

INACTIVE

Business

First Name

TIMOTHY S

Last Name

SHINE

Suffix

Business Name

TIMOTHY S SHINE MD

Original Issue Date

05/23/1985

Effective Date

05/23/1985

Expiration Date

07/31/1987

City

JACKSONVILLE

State

Zip

32224

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006