JAMES SIDNEY SHAW Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002665

License Status

INACTIVE

Business

First Name

JAMES SIDNEY

Last Name

SHAW

Business Name

JAMES SIDNEY SHAW

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

01/31/1985

City

MANKATO

State

Zip

56001

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/25/2006