TIMOTHY A SHAW DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098458

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

SHAW

Suffix

Business Name

TIMOTHY A SHAW DO

Original Issue Date

07/27/1998

Effective Date

07/27/1998

Expiration Date

07/31/1999

City

PAYSON

State

Zip

85541

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/17/2013