CANDACE MICHELLE F SHANKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

CANDACE

Middle

MICHELLE F

Last Name

SHANKS

Suffix

Business Name

CANDACE MICHELLE F SHANKS MD

Original Issue Date

01/26/2004

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

SPICEWOOD

State

Zip

78669

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021