ALEXANDER CHARLES SHAW DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156823

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

CHARLES

Last Name

SHAW

Business Name

ALEXANDER CHARLES SHAW DO

Original Issue Date

05/04/2021

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

LA GRANGE

State

Zip

60525

Ever Disciplined

LastModifiedDate

04/13/2023