KELVIN DWAYNE SHEPHERD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112677

License Status

NOT RENEWED

Business

First Name

KELVIN

Middle

DWAYNE

Last Name

SHEPHERD

Suffix

Business Name

KELVIN DWAYNE SHEPHERD DO

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

07/31/2005

City

HOUSTON

State

Zip

77033

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006