ALEXANDER CHARLES SHAW DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

CHARLES

Last Name

SHAW

Business Name

ALEXANDER CHARLES SHAW DO

Original Issue Date

05/14/2021

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023