License holder summary

Shackleford, Edward Lee Paul is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is current. The license was granted 01/11/2001 and expired on 02/28/2018.

Wisconsin

Department of Safety and Professional Services

Shackleford, Edward Lee Paul
Medicine And Surgery
License number
42953-21
Date granted
01/11/2001
Date expires
02/28/2018
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 35629502
LAST UPDATED 2024-03-05 16:40:39 UTC

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