HOWARD LAURENCE SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

HOWARD

Middle

LAURENCE

Last Name

SHAW

Suffix

Business Name

HOWARD LAURENCE SHAW MD

Original Issue Date

05/13/1986

Effective Date

05/13/1986

Expiration Date

07/31/1999

City

DEERFIELD

State

Zip

60015

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006