SHANNON LEE BRAUN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057915

License Status

INACTIVE

Business

First Name

SHANNON LEE

Last Name

BRAUN

Business Name

SHANNON LEE BRAUN

Original Issue Date

10/23/1978

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ZIONSVILLE

State

Zip

46077

County

INDIANA

Ever Disciplined

LastModifiedDate

05/07/2009