BROOKE N SHADEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127477

License Status

NOT RENEWED

Business

Title

First Name

BROOKE

Middle

Last Name

SHADEL

Business Name

BROOKE N SHADEL MD

Original Issue Date

04/06/2011

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

ST LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017