SHAWN R REATHAFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106611

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

REATHAFORD

Suffix

Business Name

SHAWN R REATHAFORD MD

Original Issue Date

03/27/2002

Effective Date

09/08/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63122

Ever Disciplined

LastModifiedDate

11/30/2023