AMY S SHAW Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

INOPERATIVE

Business

First Name

AMY

Middle

Last Name

SHAW

Business Name

AMY S SHAW

Original Issue Date

03/25/2025

Effective Date

03/25/2025

Expiration Date

03/01/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

02/03/2026