JAMES C SHAW MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

CANCELLED

Business

First Name

JAMES C

Last Name

SHAW

Suffix

Business Name

JAMES C SHAW MD

Original Issue Date

10/15/1996

Effective Date

10/15/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/09/2006