BERNARD LARRY SHORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104018

License Status

ACTIVE

Business

First Name

BERNARD

Middle

LARRY

Last Name

SHORE

Suffix

Business Name

BERNARD LARRY SHORE MD

Original Issue Date

01/11/2001

Effective Date

08/15/2024

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

08/09/2024