EVERETT EDWARD SHAFER JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011716

License Status

NOT RENEWED

Business

First Name

EVERETT EDWARD

Last Name

SHAFER JR

Suffix

DDS

Business Name

EVERETT EDWARD SHAFER JR DDS

Original Issue Date

08/01/1960

Effective Date

08/01/1960

City

LAGRANGE PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005