TOM GREGORY SHAHWAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123874

License Status

INACTIVE

Business

First Name

TOM

Middle

GREGORY

Last Name

SHAHWAN

Business Name

TOM GREGORY SHAHWAN

Original Issue Date

06/30/2009

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

KALAMAZOO

State

Zip

49009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/23/2023