License holder summary

Wilson, Shane Charles is a Osteopathy Physician/Surgeon Temporary licensed to practice in Missouri. This licensed professional license is current. The license was granted 07/01/2012 and expired on 06/30/2014.

Missouri

Division of Professional Registration

Wilson, Shane Charles
Osteopathy Physician/Surgeon Temporary
License number
2012021612  
Date granted
07/01/2012
Date expires
06/30/2014
Class
Osteopathy Physician/Surgeon Temporary
Status
Clear
licensingmissouri.org
ID 2087186
LAST UPDATED 2026-03-30 17:11:21 UTC

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