DOUGLAS B SHAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048990

License Status

NOT RENEWED

Business

First Name

DOUGLAS B

Last Name

SHAW

Suffix

Business Name

DOUGLAS B SHAW MD

Original Issue Date

02/20/1974

Effective Date

02/20/1974

City

CHESAPEAKE

State

Zip

23323

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006