MICHAEL P SHAW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020770

License Status

NOT RENEWED

Business

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

City

WESTCHESTER

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005