CLYDE EMIL SHEPHERD JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008435

License Status

NOT RENEWED

Business

First Name

CLYDE EMIL

Last Name

SHEPHERD JR

Business Name

CLYDE EMIL SHEPHERD JR

Original Issue Date

05/10/1943

Effective Date

05/10/1943

Expiration Date

04/01/1982

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005