KATHLEEN MARIE SHAW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001420

License Status

NOT RENEWED

Business

First Name

KATHLEEN MARIE

Last Name

SHAW

Business Name

KATHLEEN MARIE SHAW

Original Issue Date

02/04/1971

Effective Date

06/16/2015

Expiration Date

09/30/2018

City

ALBION

State

Zip

62806

County

EDWARDS

Ever Disciplined

LastModifiedDate

10/31/2018