BRIAN J SHAHEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

SHAHEEN

Suffix

Business Name

BRIAN J SHAHEEN MD

Original Issue Date

06/10/1998

Effective Date

06/15/2011

Expiration Date

07/31/2014

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014