SHANNON MARIE PRICE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129893

License Status

NOT RENEWED

Business

Title

First Name

SHANNON

Middle

MARIE

Last Name

PRICE

Business Name

SHANNON MARIE PRICE DO

Original Issue Date

03/29/2012

Effective Date

03/29/2012

Expiration Date

07/31/2014

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

11/17/2014