SCOTT ALLEN SHAPPARD DO Medical Doctor License verification

SCOTT ALLEN SHAPPARD DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105396

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

ALLEN

Last Name

SHAPPARD

Suffix

Business Name

SCOTT ALLEN SHAPPARD DO

Original Issue Date

08/10/2001

Effective Date

08/10/2001

Expiration Date

07/31/2002

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/26/2014

Case Number

2014007564

Action

Refuse To Renew

Discipline Start Date

09/19/2014

Discipline Reason

for sister-state discipline in the state of Idaho after he violated two previous agreements that limited or prohibited him from continuing to treat or prescribe controlled substances for chronic pain.