MARY SHOOK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

MARY

Last Name

SHOOK

Business Name

MARY SHOOK MD

Original Issue Date

04/22/2014

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

CLINTON

State

Zip

52732

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017