SHANE A STAKER DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009337

License Status

INACTIVE

Business

First Name

SHANE

Middle

Last Name

STAKER

Suffix

Business Name

SHANE A STAKER DC

Original Issue Date

04/02/2001

Effective Date

04/02/2001

Expiration Date

07/31/2005

City

WEST BRANCH

State

Zip

52358

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006