The holder whose full name is Shackleford, Edward Lee Paul,come from Gurnee IL,hold the Osteopathic Physician license(NO.02003689A) which status is Active.
| Name | Shackleford, Edward Lee Paul |
|---|---|
| License Number | 02003689A |
| License Type | Osteopathic Physician |
| License Status | Active |
| City | Gurnee |
| State | IL |