KATHERINE MAE SHADID Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035294

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

MAE

Last Name

SHADID

Business Name

KATHERINE MAE SHADID

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

Ever Disciplined

LastModifiedDate

07/01/2024