SHIRLEY WALES SHOCKLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010521

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005