ALEXANDRA SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135590

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRA

Last Name

SHAW

Business Name

ALEXANDRA SHAW MD

Original Issue Date

06/19/2014

Effective Date

06/19/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017