WILLIAM HOWARD SHACKELFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034153

License Status

NOT RENEWED

Business

First Name

WILLIAM HOWARD

Last Name

SHACKELFORD

Suffix

Business Name

WILLIAM HOWARD SHACKELFORD MD

Original Issue Date

08/16/1956

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1992004248

Action

Probation

Discipline Start Date

11/12/1993

Discipline End Date

06/27/1997

Discipline Reason

Prescribing controlled substances without a valid controlled substance license.