Information as of 10/22/2020

Last Updated by Licensee on 12/16/2019

Walter Daniel Shannon, Jr. - MD Full and Unrestricted
License#: 
Issue Date: 
200301170
09/18/2003
License Status: 
Renewal Date:
Active  
01/16/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 200301170 09/18/2003 
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
  RTL06/29/199910/31/2001
Application Expired Temporary  
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Hawaii
Out of Country Active/Inactive Licenses
None Reported