License holder summary

Tavis M. Shaw is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Tavis M. Shaw is Reid Hospital, 1100 Reid Parkway, Richmond IN 47374. This licensed professional license is not current. The license was granted 04/19/2012 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Tavis M. Shaw
Controlled Substance Registration-Osteopathic Physician
License number
02003988B
Date granted
04/19/2012
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Reid Hospital, 1100 Reid Parkway, Richmond IN 47374
indianalicensing.org
ID 5812267
LAST UPDATED 2024-05-03 03:41:20 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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