VERLAINNA C SHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

VERLAINNA

Middle

Last Name

SHAW

Suffix

Business Name

VERLAINNA C SHAW MD

Original Issue Date

08/21/2001

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

WEST CHICAGO

State

Zip

60185

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023