License Directory

Nicole Johnise Shaw

Active

California license A204378

License

Licensed by
Medical Board of California
License number
A204378
Status
Active (Current)
First issued
August 5, 2025
Expires
October 31, 2027
License holder
Nicole Johnise Shaw
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

3900 City Ave Apt M211
Philadelphia, PA 19131-2953
Philadelphia County