ANNETTE V SHORES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093049

License Status

NOT RENEWED

Business

Title

First Name

ANNETTE

Middle

Last Name

SHORES

Business Name

ANNETTE V SHORES MD

Original Issue Date

06/05/1996

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/14/2021