SHAWN W FENOUGHTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085427

License Status

NOT RENEWED

Business

First Name

SHAWN W

Last Name

FENOUGHTY

Suffix

Business Name

SHAWN W FENOUGHTY MD

Original Issue Date

10/01/1992

Effective Date

10/01/1992

Expiration Date

07/31/2002

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/09/2006