MATTHEW WILLIAM SHORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062806

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

WILLIAM

Last Name

SHORE

Business Name

MATTHEW WILLIAM SHORE MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2014

City

MILWAUKEE

State

Zip

53226

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015