JOHN R SHEPHERD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

JOHN R

Last Name

SHEPHERD

Business Name

JOHN R SHEPHERD

Original Issue Date

09/13/2011

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

LADUE

State

Zip

63124

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023