CHARLES PHILIP SHAW DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172031

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

PHILIP

Last Name

SHAW

Business Name

CHARLES PHILIP SHAW DO

Original Issue Date

09/18/2024

Effective Date

09/18/2024

Expiration Date

07/31/2026

City

LEXINGTON

State

Zip

40513

Ever Disciplined

LastModifiedDate

09/18/2024