License holder summary

DOUGLAS SHEPERD TASE is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for DOUGLAS SHEPERD TASE is 11 FAIRLANE ROAD Reading PA 19606. This licensed professional license is not current. The license was granted 03/08/2004.

Pennsylvania

Department of State

DOUGLAS SHEPERD TASE
Medicine - Written Agreement
License number
MX002486
Date granted
03/08/2004
Class
Medicine - Written Agreement
Status
Inactive
Address
11 FAIRLANE ROAD Reading PA 19606
palicensing.org
ID 16662564
LAST UPDATED 2024-04-08 12:42:29 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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