SHANE CHRISTOPHER RAINEY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067818

License Status

CANCELLED

Business

Title

First Name

SHANE

Middle

CHRISTOPHER

Last Name

RAINEY

Business Name

SHANE CHRISTOPHER RAINEY DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

PEORIA

State

Zip

61637

County

ARIZONA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/23/2015