TRAVIS SHORE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032718

License Status

NOT RENEWED

Business

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

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

05/09/2022