MARK STEVEN SHOCKLEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104500

License Status

INACTIVE

Business

First Name

MARK

Middle

STEVEN

Last Name

SHOCKLEY

Suffix

Business Name

MARK STEVEN SHOCKLEY MD

Original Issue Date

04/10/2001

Effective Date

04/10/2001

Expiration Date

07/31/2005

City

CEDAR FALLS

State

Zip

50613

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006