MARK A SHAWNIK DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****58

NOT RENEWED

N

DO

MARK A

SHAWNIK

MARK A SHAWNIK DO

12/12/1988

05/11/2017

09/30/2020

SUFFOLK

VA

23432

WASHINGTON

II III IV V

N

01/14/2021