GAVIN S SHOKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

Title

First Name

GAVIN

Middle

Last Name

SHOKAR

Business Name

GAVIN S SHOKAR MD

Original Issue Date

07/08/2015

Effective Date

07/08/2015

Expiration Date

07/31/2017

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017