SHELBY QUINN COULTER KOSCHUCK DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002146

License Status

EXPIRED

Business

Title

DDS

First Name

SHELBY

Middle

QUINN COULTER

Last Name

KOSCHUCK

Business Name

SHELBY QUINN COULTER KOSCHUCK DDS

Original Issue Date

06/08/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

11/28/2022