License holder summary

Shalley, Jack E is a Medical Physician & Surgeon licensed to practice in Missouri. This licensed professional license is current. The license was granted 01/04/1974 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Shalley, Jack E
Medical Physician & Surgeon
License number
R5388  
Date granted
01/04/1974
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2172202
LAST UPDATED 2024-02-27 02:29:10 UTC

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