ANDREA R SHAW Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011345

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

SHAW

Business Name

ANDREA R SHAW

Original Issue Date

06/29/2005

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

WHITE HEATH

State

Zip

61884

County

PIATT

Ever Disciplined

LastModifiedDate

08/28/2024