DAVID L SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094178

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

SHAW

Suffix

Business Name

DAVID L SHAW MD

Original Issue Date

09/09/1996

Effective Date

09/09/1996

Expiration Date

07/31/2002

City

PENSACOLA

State

Zip

32503

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006