SHAYNE SCOTT KEDDY DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117571

License Status

INACTIVE

Business

First Name

SHAYNE

Middle

SCOTT

Last Name

KEDDY

Suffix

Business Name

SHAYNE SCOTT KEDDY DO

Original Issue Date

02/01/2007

Effective Date

05/30/2008

Expiration Date

07/31/2011

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

04/07/2011