SOLOMAN COOPER SHOCKMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057986

License Status

EXPIRED

Business

First Name

SOLOMAN

Middle

COOPER

Last Name

SHOCKMAN

Suffix

Business Name

SOLOMAN COOPER SHOCKMAN MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

03/13/2015