CHRISTINE SHAW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

ACTIVE

Business

First Name

CHRISTINE

Last Name

SHAW

Business Name

CHRISTINE SHAW

Original Issue Date

12/05/2019

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2026