GARY ALLI-SHAW DDS - Dentist License in Illinois | # 018000391

GARY ALLI-SHAW DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000391

License Status

NOT RENEWED

Business

N

First Name

GARY

Last Name

ALLI-SHAW

Suffix

DDS

Business Name

GARY ALLI-SHAW DDS

Original Issue Date

07/19/1989

Effective Date

07/19/1989

Expiration Date

06/30/1990

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005