ROBERT D SHAW Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002137

License Status

NOT RENEWED

Business

First Name

ROBERT D

Last Name

SHAW

Business Name

ROBERT D SHAW

Original Issue Date

07/17/1952

Effective Date

07/17/1952

Expiration Date

01/31/1999

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/25/2006

Case Number

1989001588

Action

Suspension

Discipline Start Date

11/27/1989

Discipline End Date

12/16/1989