SHAUN CARL SHURTLIFF DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109104

License Status

NOT RENEWED

Business

First Name

SHAUN

Middle

CARL

Last Name

SHURTLIFF

Suffix

Business Name

SHAUN CARL SHURTLIFF DO

Original Issue Date

04/28/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/18/2016