GAVIN S SHOKAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062390

License Status

CANCELLED

Business

Title

First Name

GAVIN

Middle

Last Name

SHOKAR

Business Name

GAVIN S SHOKAR MD

Original Issue Date

07/05/2012

Effective Date

07/05/2012

Expiration Date

07/04/2015

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/09/2015