GARY Y SHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

GARY

Middle

Last Name

SHAW

Business Name

GARY Y SHAW MD

Original Issue Date

08/05/1985

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023