ANTHONY LEE SHANKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

LEE

Last Name

SHANKS

Business Name

ANTHONY LEE SHANKS MD

Original Issue Date

12/17/2014

Effective Date

12/17/2014

Expiration Date

07/31/2017

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017