LARRY ROLAND SHANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121453

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

ROLAND

Last Name

SHANNON

Suffix

Business Name

LARRY ROLAND SHANNON MD

Original Issue Date

07/11/2008

Effective Date

07/11/2008

Expiration Date

07/31/2011

City

BUFFALO

State

Zip

14209

Ever Disciplined

LastModifiedDate

03/20/2012