SHANE M CLINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

SHANE

Middle

Last Name

CLINE

Suffix

Business Name

SHANE M CLINE MD

Original Issue Date

12/19/2003

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023