THOMAS E SHINE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105380

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

SHINE

Business Name

THOMAS E SHINE

Original Issue Date

08/07/2001

Effective Date

08/07/2001

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63136

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006