License holder summary

TAVIS M SHAW is a Graduate Osteopathic Trainee licensed to practice in Pennsylvania. The address on file for TAVIS M SHAW is Saint Louis MO 63109. This licensed professional license is not current. The license was granted 03/02/2004 and expired on 06/30/2010.

Pennsylvania

Department of State

TAVIS M SHAW
Graduate Osteopathic Trainee
License number
OT010722
Date granted
03/02/2004
Date expires
06/30/2010
Class
Graduate Osteopathic Trainee
Status
Inactive
Address
Saint Louis MO 63109
palicensing.org
ID 16984354
LAST UPDATED 2026-04-17 06:56:53 UTC

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