RICHARD J SHIMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136653

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

Last Name

SHIMP

Business Name

RICHARD J SHIMP MD

Original Issue Date

10/10/2014

Effective Date

10/10/2014

Expiration Date

07/31/2017

City

CEDARBURG

State

Zip

53012

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017