SAMUEL PHILLIP SHATTAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035735

License Status

INACTIVE

Business

First Name

SAMUEL PHILLIP

Last Name

SHATTAN

Suffix

Business Name

SAMUEL PHILLIP SHATTAN MD

Original Issue Date

05/06/1959

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/17/2008