SACHA NICOLE SHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

SACHA

Middle

NICOLE

Last Name

SHAW

Business Name

SACHA NICOLE SHAW MD

Original Issue Date

11/09/2016

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023