NICHOLE MARIE SHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168586

License Status

ACTIVE

Business

Title

First Name

NICHOLE

Middle

MARIE

Last Name

SHAW

Business Name

NICHOLE MARIE SHAW MD

Original Issue Date

02/05/2024

Effective Date

02/05/2024

Expiration Date

07/31/2026

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/24/2024