BERNARD LARRY SHORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

BERNARD

Middle

LARRY

Last Name

SHORE

Suffix

Business Name

BERNARD LARRY SHORE MD

Original Issue Date

05/21/2001

Effective Date

10/03/2024

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/03/2024