EUGENE Y SHIH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126622

License Status

NOT RENEWED

Business

First Name

EUGENE

Middle

Last Name

SHIH

Suffix

Business Name

EUGENE Y SHIH MD

Original Issue Date

09/03/2010

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014