SHAWN MICHAEL RECORD DMD - Dentist License in Massachusetts | # 019023791

SHAWN MICHAEL RECORD DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023791

License Status

NOT RENEWED

Business

N

First Name

SHAWN MICHAEL

Last Name

RECORD

Suffix

DMD

Business Name

SHAWN MICHAEL RECORD DMD

Original Issue Date

02/02/1995

Effective Date

02/02/1995

Expiration Date

09/30/1998

State

MA

Ever Disciplined

N

LastModifiedDate

10/12/2005