MICHAEL SHANKS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061325

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Last Name

SHANKS

Business Name

MICHAEL SHANKS DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

TERRE HAUTE

State

Zip

47802

Specialty/Qualifier

Urological Surgery

Ever Disciplined

LastModifiedDate

10/25/2018