SHANNON ERIN WITTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062855

License Status

EXPIRED

Business

First Name

SHANNON

Middle

ERIN

Last Name

WITTY

Suffix

Business Name

SHANNON ERIN WITTY MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/16/2016