STACI M SHAW - Dentist License in Illinois | # 020009887

STACI M SHAW

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009887

License Status

ACTIVE

Business

N

First Name

STACI

Middle

M

Last Name

SHAW

Business Name

STACI M SHAW

Original Issue Date

08/03/2000

Effective Date

09/27/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2024