JONATHAN B SHOOK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113794

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

SHOOK

Business Name

JONATHAN B SHOOK

Original Issue Date

05/25/2005

Effective Date

06/17/2008

Expiration Date

07/31/2011

City

ZIONSVILLE

State

Zip

46077

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2011