SHELBY MARIE DICKISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154390

License Status

NOT RENEWED

Business

Title

First Name

SHELBY

Middle

MARIE

Last Name

DICKISON

Business Name

SHELBY MARIE DICKISON MD

Original Issue Date

09/28/2020

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023