KELVIN S SHAW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037474

License Status

EXPIRED

Business

First Name

KELVIN

Middle

Last Name

SHAW

Suffix

Business Name

KELVIN S SHAW MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Allergy & Immunology

Ever Disciplined

LastModifiedDate

09/22/2006