GARY ALLI-SHAW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000391

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005