SHANNON SMITH PROGRAIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

SMITH

Last Name

PROGRAIS

Business Name

SHANNON SMITH PROGRAIS MD

Original Issue Date

05/13/2019

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023