GEOFFREY SYDNEY SHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

GEOFFREY SYDNEY

Last Name

SHAW

Suffix

Business Name

GEOFFREY SYDNEY SHAW MD

Original Issue Date

08/31/1993

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

NORTHFIELD

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023