AUSTIN TAYLOR SHAW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010854

License Status

ACTIVE

Business

First Name

AUSTIN

Middle

TAYLOR

Last Name

SHAW

Business Name

AUSTIN TAYLOR SHAW

Original Issue Date

10/01/2024

Effective Date

10/01/2024

Expiration Date

03/01/2026

City

SALEM

State

Zip

97302

Ever Disciplined

LastModifiedDate

12/03/2025