JESSALYN GALE SHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148617

License Status

ACTIVE

Business

Title

First Name

JESSALYN

Middle

GALE

Last Name

SHAW

Business Name

JESSALYN GALE SHAW MD

Original Issue Date

03/18/2019

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2023