ANGELA MARIE SHAW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

ACTIVE

Business

First Name

ANGELA

Middle

MARIE

Last Name

SHAW

Business Name

ANGELA MARIE SHAW

Original Issue Date

06/07/2018

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

WINFIELD

State

Zip

60190

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2026