LORI ANN SHOCKLEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101357

License Status

INACTIVE

Business

First Name

LORI

Middle

ANN

Last Name

SHOCKLEY

Suffix

Business Name

LORI ANN SHOCKLEY MD

Original Issue Date

09/28/1999

Effective Date

09/28/1999

Expiration Date

07/31/2005

City

CEDER FALLS

State

Zip

50613

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006