WILLIAM JOHN SHINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049149

License Status

NOT RENEWED

Business

First Name

WILLIAM JOHN

Last Name

SHINE

Suffix

Business Name

WILLIAM JOHN SHINE MD

Original Issue Date

05/04/1974

Effective Date

05/04/1974

City

DAYTON

State

Zip

45429

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006