ANTHONY LEE SHANKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136867

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

LEE

Last Name

SHANKS

Business Name

ANTHONY LEE SHANKS MD

Original Issue Date

12/01/2014

Effective Date

12/01/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017