SHANON ALEX FORSETER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142132

License Status

NOT RENEWED

Business

Title

First Name

SHANON

Middle

ALEX

Last Name

FORSETER

Business Name

SHANON ALEX FORSETER MD

Original Issue Date

12/27/2016

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021