CARL TYLER SHENKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

CARL

Middle

TYLER

Last Name

SHENKMAN

Business Name

CARL TYLER SHENKMAN MD

Original Issue Date

01/18/2011

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

ST PETERSBURG

State

Zip

33705

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014