CHARLES PHILIP SHAW DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

PHILIP

Last Name

SHAW

Business Name

CHARLES PHILIP SHAW DO

Original Issue Date

11/15/2024

Effective Date

11/15/2024

Expiration Date

07/31/2026

City

PAINTSVILLE

State

Zip

41240

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/15/2024