General Information


Print Official Detailed License Verification

THIS IS NOT AN OFFICIAL DETAILED LICENSE VERIFICATION

New Search
General Information
  • Name:Gary Allen Shintani, D.O.
  • Primary Specialty:Internal Medicine
Address Information
  • Mailing Address: 7768 N 45th Road
  • Address 2:
  • City:Manton
  • State: MI
  • Zip:49663
  • Phone:(231) 499-4106
  • Fax:
License Information
  • License Number: E-10359
  • Original Issue Date: 02/17/2017
  • Expiration Date:05/31/2018
  • Basis: Exam
  • License Status: Active
  • License Category: Unlimited
  • License Number: T2017-039
  • Original Issue Date: 02/10/2017
  • Expiration Date:04/07/2017
  • Basis: Exam
  • License Status: Inactive
  • License Category: Temporary
Board History
No Board Minutes on file for this licensee.
No Board Orders on file for this licensee.