DAVID L SHOULTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060311

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

SHOULTS

Suffix

Business Name

DAVID L SHOULTS MD

Original Issue Date

05/16/1980

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

11/17/2014