WILLIAM EDWARD SHAW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085447

License Status

INACTIVE

Business

First Name

WILLIAM EDWARD

Last Name

SHAW

Suffix

Business Name

WILLIAM EDWARD SHAW MD

Original Issue Date

10/06/1992

Effective Date

07/24/2020

Expiration Date

07/31/2023

City

INDIAN HEAD PARK

State

Zip

60525

Ever Disciplined

LastModifiedDate

04/07/2023

Case Number

2012012743

Action

Probation

Discipline Start Date

05/10/2013

Discipline End Date

09/02/2018

Discipline Reason

after being disciplined by the state of Virginia.