TARA AMANDA SHAW MD - Medical Doctor License in California | # 036113299

TARA AMANDA SHAW MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113299

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

AMANDA

Last Name

SHAW

Suffix

MD

Business Name

TARA AMANDA SHAW MD

Original Issue Date

03/21/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

CA

Ever Disciplined

N

LastModifiedDate

11/06/2008