SHANNON LEE BRAUN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

SHANNON LEE

Last Name

BRAUN

Business Name

SHANNON LEE BRAUN

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006