KEVIN C SHANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084573

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

SHANNON

Suffix

Business Name

KEVIN C SHANNON MD

Original Issue Date

07/09/1992

Effective Date

07/09/1992

Expiration Date

07/31/2002

City

MANCHESTER

State

Zip

03104

Ever Disciplined

LastModifiedDate

05/22/2012