TROY SHEPARD WILDES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156943

License Status

NOT RENEWED

Business

Title

First Name

TROY

Middle

SHEPARD

Last Name

WILDES

Business Name

TROY SHEPARD WILDES MD

Original Issue Date

05/14/2021

Effective Date

05/14/2021

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023