Matthew Qing Shaw

Controlled Substance Registration - Physician

Indiana  01057807B   Active

This Indiana license is held by Matthew Qing Shaw. The license is currently active. It was granted on 01/05/2005 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01057807B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 01/05/2005 (over 20 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

St. Vincent Frankfort Hospital/ Anesthesia, 1300 South Jackson Street, Frankfort IN 46041