JOHN M SHANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041804

License Status

NOT RENEWED

Business

First Name

JOHN M

Last Name

SHANE

Suffix

Business Name

JOHN M SHANE MD

Original Issue Date

07/01/1968

Effective Date

07/01/1968

City

NATICK

State

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006