CLYDE NORMAN SHEALY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051364

License Status

NOT RENEWED

Business

First Name

CLYDE NORMAN

Last Name

SHEALY

Suffix

Business Name

CLYDE NORMAN SHEALY MD

Original Issue Date

08/12/1975

Effective Date

08/12/1975

Expiration Date

07/01/1982

City

LA CROSSE

State

Zip

54601

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006