SHANNON LYNN CHATHAM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162321

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

LYNN

Last Name

CHATHAM

Business Name

SHANNON LYNN CHATHAM DO

Original Issue Date

09/12/2022

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

PORT ST JOE

State

Zip

32456

Ever Disciplined

LastModifiedDate

06/16/2023