MITRA SHAMS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111339

License Status

NOT RENEWED

Business

First Name

MITRA

Last Name

SHAMS

Suffix

Business Name

MITRA SHAMS MD

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/04/2021