Matthew Wayne Shawl
ExpiredCalifornia license A76960
License
- Licensed by
- Medical Board of California
- License number
- A76960
- Status
- Expired (Delinquent)
- First issued
- October 31, 2001
- Expired
- June 30, 2025
- License holder
- Matthew Wayne Shawl
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
853 Broadway Ste 903
New York, NY 10003
New York, NY 10003
New York County