EDWARD JOEL SHANIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055626

License Status

NOT RENEWED

Business

First Name

EDWARD JOEL

Last Name

SHANIK

Suffix

Business Name

EDWARD JOEL SHANIK MD

Original Issue Date

08/22/1977

Effective Date

08/22/1977

City

ROSWELL

State

Zip

30076

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006