CORY SHEA HALLIBURTON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111896

License Status

INACTIVE

Business

First Name

CORY

Middle

SHEA

Last Name

HALLIBURTON

Suffix

Business Name

CORY SHEA HALLIBURTON MD

Original Issue Date

07/20/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SHELBURNE

State

Zip

05482

Ever Disciplined

LastModifiedDate

04/17/2008