General Information


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General Information
  • Name:Charlotte Bradford Shaw, PA
  • Primary Specialty:
Address Information
  • Mailing Address: 510 South Washington
  • Address 2:
  • City:Bastrop
  • State: LA
  • Zip:71220
  • Phone:(318) 647-5883
  • Fax:(318) 665-9707
License Information
  • License Number: PA-727
  • Original Issue Date: 06/09/2017
  • Expiration Date:10/31/2018
  • Basis: Exam
  • License Status: Active
  • License Category: Unlimited
  • License Number: PT2017-027
  • Original Issue Date: 04/20/2017
  • Expiration Date:06/09/2017
  • Basis: Exam
  • License Status: Inactive
  • License Category: Temporary
Board History
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No Board Orders on file for this licensee.