LISA MARIE SHEPPARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124059

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

SHEPPARD

Suffix

Business Name

LISA MARIE SHEPPARD MD

Original Issue Date

07/21/2009

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

PRINCETON JUNCTION

State

Zip

08550

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

01/14/2021