SHAWN D ANTLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124535

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

ANTLE

Suffix

Business Name

SHAWN D ANTLE MD

Original Issue Date

10/26/2009

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

DELAVAN

State

Zip

53115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023