JEROME UDELL SHATOFF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015389

License Status

NOT RENEWED

Business

First Name

JEROME UDELL

Last Name

SHATOFF

Suffix

DDS

Business Name

JEROME UDELL SHATOFF DDS

Original Issue Date

01/06/1976

Effective Date

01/06/1976

Expiration Date

09/30/1984

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/12/2005