Everett Lee Shaw

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085004037

Status

Expired (Not Renewed)

First issued

June 1, 2011

Expired

March 1, 2024

License holder

Everett Lee Shaw

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

01/26/2022

Other Illinois licenses under this name

• IL
  Everett Lee Shaw

  License 38*****62

  Physician Assistant Controlled Substance
  Expired

  Decatur, IL

  Expired Mar 1, 2024

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