HEIDI WINGARD SHAPPELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138109

License Status

NOT RENEWED

Business

Title

First Name

HEIDI

Middle

WINGARD

Last Name

SHAPPELL

Business Name

HEIDI WINGARD SHAPPELL MD

Original Issue Date

05/28/2015

Effective Date

07/08/2020

Expiration Date

07/31/2023

City

EDISTO ISLAND

State

Zip

29438

Ever Disciplined

LastModifiedDate

11/30/2023