SHAPING SUN MD - Medical Doctor License in Missouri | # 036112601

SHAPING SUN MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112601

License Status

ACTIVE

Business

N

First Name

SHAPING

Last Name

SUN

Suffix

MD

Business Name

SHAPING SUN MD

Original Issue Date

11/04/2004

Effective Date

04/10/2023

Expiration Date

07/31/2026

State

MO

Ever Disciplined

N

LastModifiedDate

04/10/2023