PETER Q SHELLEY DDS - Dentist License in Illinois | # 019026537

PETER Q SHELLEY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026537

License Status

NOT RENEWED

Business

N

First Name

PETER

Middle

Q

Last Name

SHELLEY

Suffix

DDS

Business Name

PETER Q SHELLEY DDS

Original Issue Date

08/05/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2007