SHANE M CLINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110407

License Status

ACTIVE

Business

First Name

SHANE

Middle

Last Name

CLINE

Suffix

Business Name

SHANE M CLINE MD

Original Issue Date

11/05/2003

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/13/2023