ROBERT D SHAW Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

ROBERT D

Last Name

SHAW

Business Name

ROBERT D SHAW

Original Issue Date

07/01/1985

Effective Date

07/01/1985

Expiration Date

01/31/1999

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006