ROBERT GLEN SHURTLEFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055164

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

GLEN

Last Name

SHURTLEFF

Suffix

Business Name

ROBERT GLEN SHURTLEFF MD

Original Issue Date

07/18/1977

Effective Date

07/18/1977

City

LA CROSSE

State

Zip

54601

Ever Disciplined

LastModifiedDate

10/11/2007

Case Number

1994000184

Action

Suspension

Discipline Start Date

01/10/1995

Discipline Reason

Disciplined in Wisconsin.