SHAWN P CULLEN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114148

License Status

INACTIVE

Business

First Name

SHAWN

Middle

Last Name

CULLEN

Business Name

SHAWN P CULLEN

Original Issue Date

07/11/2005

Effective Date

06/14/2011

Expiration Date

07/31/2014

City

GOSHEN

State

Zip

46528

Ever Disciplined

LastModifiedDate

06/10/2016