HARVEY EARL SHEPARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

HARVEY

Middle

EARL

Last Name

SHEPARD

Suffix

Business Name

HARVEY EARL SHEPARD MD

Original Issue Date

03/13/2008

Effective Date

06/13/2012

Expiration Date

07/31/2014

City

PHILADELPHIA

State

Zip

19130

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014