RICHARD CLARK SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054513

License Status

NOT RENEWED

Business

First Name

RICHARD CLARK

Last Name

SHAW

Suffix

Business Name

RICHARD CLARK SHAW MD

Original Issue Date

05/03/1977

Effective Date

05/03/1977

Expiration Date

07/31/1984

City

PORTLAND

State

Zip

04101

County

MAINE

Ever Disciplined

LastModifiedDate

09/20/2006