GEOFFREY SYDNEY SHAW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027123

License Status

EXPIRED

Business

First Name

GEOFFREY SYDNEY

Last Name

SHAW

Suffix

Business Name

GEOFFREY SYDNEY SHAW MD

Original Issue Date

06/10/1991

Effective Date

06/10/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006