SHAWN E BAILEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

SHAWN E

Last Name

BAILEY

Business Name

SHAWN E BAILEY

Original Issue Date

07/12/2002

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

HENNEPIN

State

Zip

61327

County

PUTNAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020