SHANNON L WATLEY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106885

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

WATLEY

Suffix

Business Name

SHANNON L WATLEY DO

Original Issue Date

05/07/2002

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/23/2023