TIMOTHY E SHIELDS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017970

License Status

NOT RENEWED

Business

First Name

TIMOTHY E

Last Name

SHIELDS

Suffix

DDS

Business Name

TIMOTHY E SHIELDS DDS

Original Issue Date

01/20/1982

Effective Date

01/20/1982

Expiration Date

09/30/1990

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005