SHANON ALEX FORSETER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

SHANON

Middle

ALEX

Last Name

FORSETER

Business Name

SHANON ALEX FORSETER MD

Original Issue Date

12/27/2016

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021