SETH T SHAW JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066578

License Status

NOT RENEWED

Business

First Name

SETH T

Last Name

SHAW JR

Suffix

Business Name

SETH T SHAW JR MD

Original Issue Date

05/20/1983

Effective Date

05/20/1983

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006