MAURICE ANTHONY SHIVELY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011678

License Status

NOT RENEWED

Business

First Name

MAURICE ANTHONY

Last Name

SHIVELY

Suffix

DDS

Business Name

MAURICE ANTHONY SHIVELY DDS

Original Issue Date

07/27/1960

Effective Date

07/27/1960

Expiration Date

09/30/1976

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/12/2005