T ERIC SCHACKOW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099827

License Status

INACTIVE

Business

First Name

Middle

ERIC

Last Name

SCHACKOW

Suffix

Business Name

T ERIC SCHACKOW MD

Original Issue Date

03/11/1999

Effective Date

05/22/2014

Expiration Date

07/31/2017

City

SAYRE

State

Zip

18840

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

04/12/2017