MATTHEW SHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Last Name

SHAW

Business Name

MATTHEW SHAW MD

Original Issue Date

03/28/2023

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

CARMEL

State

Zip

46032

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2023