ELIAN M SHEPHERD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061008

License Status

INACTIVE

Business

First Name

ELIAN

Middle

Last Name

SHEPHERD

Suffix

Business Name

ELIAN M SHEPHERD MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1987

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006