CHARLOTTE S SHELBY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002049

License Status

INACTIVE

Business

First Name

CHARLOTTE S

Last Name

SHELBY

Business Name

CHARLOTTE S SHELBY

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/1994

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005