GREGORY ARTHUR SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141080

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

ARTHUR

Last Name

SHAW

Business Name

GREGORY ARTHUR SHAW MD

Original Issue Date

06/28/2016

Effective Date

08/30/2017

Expiration Date

09/30/2020

City

PIKEVILLE

State

Zip

41501

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021