License holder summary

SHANK KENNETH DOUGLAS is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for SHANK KENNETH DOUGLAS is JOHNSON CITY NY. This doctor license is not current. The license was granted 04/03/2001.

New York

Office of the Professions

SHANK KENNETH DOUGLAS
Medicine (Physician, Including M Ds & D Os)
License number
220775
Date granted
04/03/2001
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
JOHNSON CITY NY
nymedicine.org
ID 30275765
LAST UPDATED 2024-03-05 07:57:18 UTC

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