MATTHEW THOMAS MCSHANE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064774

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

THOMAS

Last Name

MCSHANE

Business Name

MATTHEW THOMAS MCSHANE MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2017

City

APPLETON

State

Zip

54911

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/06/2014