COREY SHAW D.O. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177502

License Status

ACTIVE

Business

Title

D.O.

First Name

COREY

Last Name

SHAW

Business Name

COREY SHAW D.O.

Original Issue Date

10/14/2025

Effective Date

10/14/2025

Expiration Date

07/31/2026

City

PAGE

State

Zip

86040

Ever Disciplined

LastModifiedDate

10/14/2025