WILLIAM E SHAW JR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

ACTIVE

Business

First Name

WILLIAM

Middle

Last Name

SHAW

Suffix

Business Name

WILLIAM E SHAW JR

Original Issue Date

09/22/2017

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

AMBOY

State

Zip

61310

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026