GARY Y SHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070739

License Status

ACTIVE

Business

Title

First Name

GARY

Middle

Last Name

SHAW

Business Name

GARY Y SHAW MD

Original Issue Date

06/03/1985

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/05/2023