SHELLY L BYWATER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088420

License Status

NOT RENEWED

Business

First Name

SHELLY L

Last Name

BYWATER

Suffix

Business Name

SHELLY L BYWATER MD

Original Issue Date

05/16/1994

Effective Date

05/16/1994

Expiration Date

07/31/1996

City

RED WING

State

Zip

55066

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006