JAMES D SHADOAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

JAMES D

Last Name

SHADOAN

Suffix

Business Name

JAMES D SHADOAN MD

Original Issue Date

05/20/1983

Effective Date

05/20/1983

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006