TERESA MCDONOUGH SHAW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005728

License Status

NOT RENEWED

Business

First Name

TERESA MCDONOUGH

Last Name

SHAW

Business Name

TERESA MCDONOUGH SHAW

Original Issue Date

12/19/1984

Effective Date

12/19/1984

Expiration Date

09/30/1988

City

WESTCHESTER

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005