JAMES C SHAW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094333

License Status

INACTIVE

Business

First Name

JAMES C

Last Name

SHAW

Suffix

Business Name

JAMES C SHAW MD

Original Issue Date

10/08/1996

Effective Date

10/08/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006