KEITH ALAN SHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057337

License Status

ACTIVE

Business

First Name

KEITH ALAN

Last Name

SHAW

Suffix

Business Name

KEITH ALAN SHAW MD

Original Issue Date

08/10/1978

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

DUBUQUE

State

Zip

52001

Ever Disciplined

LastModifiedDate

04/08/2023