CHARLES T SHAW Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078790

License Status

ACTIVE

Business

First Name

CHARLES T

Last Name

SHAW

Business Name

CHARLES T SHAW

Original Issue Date

05/05/1989

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2023