JOSEPH ROY SHACKELFORD III MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040018

License Status

INACTIVE

Business

First Name

JOSEPH ROY

Last Name

SHACKELFORD III

Suffix

Business Name

JOSEPH ROY SHACKELFORD III MD

Original Issue Date

08/20/1965

Effective Date

08/20/1965

Expiration Date

07/31/1987

City

CHAPEL HILL

State

Zip

27514

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006