NORMAN MARVIN SHORE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028478

License Status

INACTIVE

Business

First Name

NORMAN MARVIN

Last Name

SHORE

Suffix

Business Name

NORMAN MARVIN SHORE MD

Original Issue Date

11/24/1947

Effective Date

11/24/1947

Expiration Date

07/31/1987

City

SALT LAKE CITY

State

Zip

84104

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006