ELEANOR M SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081980

License Status

NOT RENEWED

Business

First Name

ELEANOR M

Last Name

SHAW

Suffix

Business Name

ELEANOR M SHAW MD

Original Issue Date

01/04/1991

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021