SHAWN M FRY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108501

License Status

ACTIVE

Business

First Name

SHAWN

Middle

Last Name

FRY

Business Name

SHAWN M FRY

Original Issue Date

01/29/2003

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/26/2023