SHIN MIYATA M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176754

License Status

ACTIVE

Business

Title

M.D.

First Name

SHIN

Last Name

MIYATA

Business Name

SHIN MIYATA M.D.

Original Issue Date

08/22/2025

Effective Date

08/22/2025

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

08/22/2025