MICHAEL SHAWN MENGARELLI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158993

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

SHAWN

Last Name

MENGARELLI

Business Name

MICHAEL SHAWN MENGARELLI DO

Original Issue Date

12/14/2021

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

COLLINSVILLE

State

Zip

62234

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/25/2023