NELSON EUGENE SHREVE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074689

License Status

EXPIRED

Business

Title

First Name

NELSON

Middle

EUGENE

Last Name

SHREVE

Business Name

NELSON EUGENE SHREVE MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022