License Directory

Dominique Marie Shaw

Active

California license A87149

License

Licensed by
Medical Board of California
License number
A87149
Status
Active (Current)
First issued
May 12, 2004
Expires
January 31, 2028
License holder
Dominique Marie Shaw
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

264 W 118th St # 114
New York, NY 10026-1620
New York County