DOUGLAS SHAWN FISHMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000486

License Status

EXPIRED

Business

First Name

DOUGLAS

Middle

SHAWN

Last Name

FISHMAN

Suffix

Business Name

DOUGLAS SHAWN FISHMAN MD

Original Issue Date

07/26/2000

Effective Date

07/26/2000

Expiration Date

07/25/2003

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006