DONNIE E SHELTON JR MD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

NOT RENEWED

Business

Title

First Name

DONNIE

Middle

Last Name

SHELTON

Suffix

Business Name

DONNIE E SHELTON JR MD

Original Issue Date

03/16/2001

Effective Date

03/16/2001

Expiration Date

03/01/2004

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/09/2006