TARA AMANDA SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113299

License Status

NOT RENEWED

Business

First Name

TARA

Middle

AMANDA

Last Name

SHAW

Suffix

Business Name

TARA AMANDA SHAW MD

Original Issue Date

03/21/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

OAKLAND

State

Zip

94619

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/06/2008