WILLIAM E SHAW JR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006207

License Status

ACTIVE

Business

First Name

WILLIAM

Middle

Last Name

SHAW

Suffix

Business Name

WILLIAM E SHAW JR

Original Issue Date

06/19/2017

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

AMBOY

State

Zip

61310

County

LEE

Ever Disciplined

LastModifiedDate

01/22/2026