JEFFREY M SHORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129111

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

Last Name

SHORE

Business Name

JEFFREY M SHORE MD

Original Issue Date

10/19/2011

Effective Date

10/19/2011

Expiration Date

07/31/2014

City

MELBOURNE

State

Zip

32904

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014