TRAVIS SHORE DMD - Dentist License in Illinois | # 019032718

TRAVIS SHORE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032718

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

TRAVIS

Last Name

SHORE

Business Name

TRAVIS SHORE DMD

Original Issue Date

06/15/2020

Effective Date

06/15/2020

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022