PHILIP H SHAYNE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083056

License Status

INACTIVE

Business

First Name

PHILIP H

Last Name

SHAYNE

Suffix

Business Name

PHILIP H SHAYNE MD

Original Issue Date

07/24/1991

Effective Date

07/24/1991

Expiration Date

07/31/1996

City

ATLANTA

State

Zip

30305

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006