SHANNON K FIELDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099523

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

FIELDS

Suffix

Business Name

SHANNON K FIELDS MD

Original Issue Date

01/19/1999

Effective Date

01/19/1999

Expiration Date

07/31/2002

City

STOCKBRIDGE

State

Zip

30281

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/09/2006