SHANE JOSEPH LARUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152491

License Status

ACTIVE

Business

Title

First Name

SHANE

Middle

JOSEPH

Last Name

LARUE

Business Name

SHANE JOSEPH LARUE MD

Original Issue Date

04/07/2020

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

07/25/2023