SHAWN ANDREW MAYER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061687

License Status

EXPIRED

Business

Title

First Name

SHAWN

Middle

ANDREW

Last Name

MAYER

Business Name

SHAWN ANDREW MAYER MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

Vascular Interventional Radiology

Ever Disciplined

LastModifiedDate

10/07/2013