ERIC NATHAN SHEPARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168784

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

NATHAN

Last Name

SHEPARD

Business Name

ERIC NATHAN SHEPARD MD

Original Issue Date

02/16/2024

Effective Date

02/16/2024

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46202

Ever Disciplined

LastModifiedDate

02/08/2024