SHANNON D SCHANTZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024109

License Status

EXPIRED

Business

First Name

SHANNON D

Last Name

SCHANTZ

Suffix

Business Name

SHANNON D SCHANTZ MD

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

07/01/1992

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006