JACOB ISRAEL SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144497

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

ISRAEL

Last Name

SHAW

Business Name

JACOB ISRAEL SHAW MD

Original Issue Date

10/17/2017

Effective Date

10/17/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021