ROBERT GLENN SHALES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008594

License Status

NOT RENEWED

Business

First Name

ROBERT GLENN

Last Name

SHALES

Business Name

ROBERT GLENN SHALES

Original Issue Date

05/16/1944

Effective Date

05/16/1944

Expiration Date

09/30/1992

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005