ANGELA CASEY SHAW DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039088

License Status

EXPIRED

Business

First Name

ANGELA

Middle

CASEY

Last Name

SHAW

Suffix

Business Name

ANGELA CASEY SHAW DO

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/20/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006