SHIRLEY WALES SHOCKLEY - Dentist License in Illinois | # 019010521

SHIRLEY WALES SHOCKLEY

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010521

License Status

NOT RENEWED

Business

N

First Name

SHIRLEY WALES

Last Name

SHOCKLEY

Business Name

SHIRLEY WALES SHOCKLEY

Original Issue Date

08/06/1954

Effective Date

08/06/1954

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005