JAMES SIDNEY SHAW - Podiatrist License in Michigan | # 016002665

JAMES SIDNEY SHAW

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002665

License Status

INACTIVE

Business

N

First Name

JAMES SIDNEY

Last Name

SHAW

Business Name

JAMES SIDNEY SHAW

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

01/31/1985

State

MI

Ever Disciplined

N

LastModifiedDate

09/25/2006