JOHN STEPHEN SHEPARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012640

License Status

NOT RENEWED

Business

First Name

JOHN STEPHEN

Last Name

SHEPARD

Suffix

DDS

Business Name

JOHN STEPHEN SHEPARD DDS

Original Issue Date

11/25/1964

Effective Date

11/25/1964

City

ALLENDALE

State

Zip

62410

County

WABASH

Ever Disciplined

LastModifiedDate

10/12/2005