JOHN DUDLEY SHEPHERDSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051118

License Status

NOT RENEWED

Business

First Name

JOHN DUDLEY

Last Name

SHEPHERDSON

Suffix

Business Name

JOHN DUDLEY SHEPHERDSON DO

Original Issue Date

07/02/1975

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/30/2023