MARK J SHANKMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079836

License Status

INACTIVE

Business

First Name

MARK J

Last Name

SHANKMAN

Suffix

Business Name

MARK J SHANKMAN MD

Original Issue Date

05/21/1990

Effective Date

05/21/1990

Expiration Date

07/31/1993

City

WEST NEWTON

State

Zip

02165

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006