ALEXANDRA SHAW MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059412

License Status

CANCELLED

Business

Title

First Name

ALEXANDRA

Last Name

SHAW

Business Name

ALEXANDRA SHAW MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

03/24/2014