SHIREEN JUNE RUDDEROW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113014

License Status

NOT RENEWED

Business

First Name

SHIREEN

Middle

JUNE

Last Name

RUDDEROW

Suffix

Business Name

SHIREEN JUNE RUDDEROW MD

Original Issue Date

02/02/2005

Effective Date

02/02/2005

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006