MARK A SHAWNIK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078080

License Status

NOT RENEWED

Business

Title

First Name

MARK A

Last Name

SHAWNIK

Business Name

MARK A SHAWNIK DO

Original Issue Date

10/22/1988

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

SUFFOLK

State

Zip

23432

Ever Disciplined

LastModifiedDate

01/14/2021