KALEB BLAINE SHUMARD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019036105

License Status

ACTIVE

Business

Title

DMD

First Name

KALEB

Middle

BLAINE

Last Name

SHUMARD

Business Name

KALEB BLAINE SHUMARD DMD

Original Issue Date

06/10/2025

Effective Date

06/10/2025

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

04/29/2025