SHANNON GRACE FARMAKIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151617

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

GRACE

Last Name

FARMAKIS

Business Name

SHANNON GRACE FARMAKIS MD

Original Issue Date

01/22/2020

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

06/08/2023