Department of Safety and Professional Services
Board of Medical Practice
Susanna Janes Shaw
Medical - Physician And Surgeon
License number
52624
Date granted
01/09/2010
Date expires
04/30/2012
Class
Medical - Physician And Surgeon
Status
Canceled
Address
2110 19th St. NW, Apt 305, Washington, DC 20009
doctorsminnesota.org
ID 22302930
LAST UPDATED 2026-04-04 03:48:42 UTC
LAST UPDATED 2026-04-04 03:48:42 UTC
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