FOREST RAYMOND SHEPPARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144483

License Status

NOT RENEWED

Business

Title

First Name

FOREST

Middle

RAYMOND

Last Name

SHEPPARD

Business Name

FOREST RAYMOND SHEPPARD MD

Original Issue Date

10/12/2017

Effective Date

10/12/2017

Expiration Date

09/30/2020

City

SPRING BRANCH

State

Zip

78070

County

TEXAS

Ever Disciplined

LastModifiedDate

01/14/2021