MARSHALL H SHORT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

MARSHALL H

Last Name

SHORT

Suffix

Business Name

MARSHALL H SHORT MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011