JOHN MARX SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

JOHN MARX

Last Name

SHAW

Suffix

Business Name

JOHN MARX SHAW MD

Original Issue Date

01/01/1997

Effective Date

11/14/2014

Expiration Date

07/31/2017

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020