SHANNON WAGNER SIMMONS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124244

License Status

INACTIVE

Business

First Name

SHANNON

Middle

WAGNER

Last Name

SIMMONS

Suffix

Business Name

SHANNON WAGNER SIMMONS MD

Original Issue Date

08/18/2009

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

SEATTLE

State

Zip

98105

Ever Disciplined

LastModifiedDate

04/08/2014