ROGER SEBASTIAN SHINNERL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

ROGER

Middle

SEBASTIAN

Last Name

SHINNERL

Business Name

ROGER SEBASTIAN SHINNERL MD

Original Issue Date

10/06/2023

Effective Date

10/06/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/06/2023