PATRICK GERALD MCSHANE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028663

License Status

ACTIVE

Business

First Name

PATRICK

Middle

GERALD

Last Name

MCSHANE

Business Name

PATRICK GERALD MCSHANE

Original Issue Date

06/14/2011

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/01/2024