BRUCE SHEADE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072220

License Status

INACTIVE

Business

First Name

BRUCE

Last Name

SHEADE

Suffix

Business Name

BRUCE SHEADE MD

Original Issue Date

01/14/1986

Effective Date

01/14/1986

Expiration Date

07/31/1993

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006