DANIEL R SHUTE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013680

License Status

NOT RENEWED

Business

First Name

DANIEL R

Last Name

SHUTE

Business Name

DANIEL R SHUTE

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1986

City

E PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005