MICHAEL P SHAW - Dentist License in Illinois | # 019020770

MICHAEL P SHAW

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020770

License Status

NOT RENEWED

Business

N

First Name

MICHAEL P

Last Name

SHAW

Business Name

MICHAEL P SHAW

Original Issue Date

08/15/1987

Effective Date

08/15/1987

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005