License holder summary

Shallow, Natasha R is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is current. The license was granted 09/02/2014 and expired on 10/31/2017.

Wisconsin

Department of Safety and Professional Services

Shallow, Natasha R
Medicine And Surgery
License number
62889-20
Date granted
09/02/2014
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 36511964
LAST UPDATED 2026-03-26 00:23:48 UTC

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