LAWRENCE G SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103909

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

Last Name

SHAW

Suffix

Business Name

LAWRENCE G SHAW MD

Original Issue Date

12/13/2000

Effective Date

12/13/2000

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/10/2007