SHAPING SUN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112601

License Status

ACTIVE

Business

First Name

SHAPING

Last Name

SUN

Suffix

Business Name

SHAPING SUN MD

Original Issue Date

11/04/2004

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63106

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/10/2023