WILLIAM HOWARD SHACKELFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

WILLIAM HOWARD

Last Name

SHACKELFORD

Suffix

Business Name

WILLIAM HOWARD SHACKELFORD MD

Original Issue Date

01/01/1997

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1988000555

Action

Summary Suspension

Discipline Start Date

06/21/1989

Discipline End Date

04/18/1990