SHELDON S SHORE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

SHELDON S

Last Name

SHORE

Business Name

SHELDON S SHORE

Original Issue Date

10/02/1995

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

QUINCY

State

Zip

62305

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023