GARY Y SHAW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015856

License Status

EXPIRED

Business

Title

First Name

GARY

Middle

Last Name

SHAW

Business Name

GARY Y SHAW MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/25/1985

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006