SAMANTHA SHAW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078421

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Last Name

SHAW

Business Name

SAMANTHA SHAW MD

Original Issue Date

06/15/2024

Effective Date

06/15/2024

Expiration Date

06/14/2025

City

CHICAGO

State

Zip

60608

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

11/03/2025