MARSHALL H SHORT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043099

License Status

NOT RENEWED

Business

First Name

MARSHALL H

Last Name

SHORT

Suffix

Business Name

MARSHALL H SHORT MD

Original Issue Date

01/06/1970

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/14/2011