AMY S SHAW Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010985

License Status

INACTIVE

Business

First Name

AMY

Middle

Last Name

SHAW

Business Name

AMY S SHAW

Original Issue Date

12/02/2024

Effective Date

12/02/2024

Expiration Date

03/01/2026

City

CHEYENNE

State

Zip

82003

Ever Disciplined

LastModifiedDate

02/26/2026