AVENLEE MAY SHAW Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014889

License Status

ACTIVE

Business

First Name

AVENLEE

Middle

MAY

Last Name

SHAW

Business Name

AVENLEE MAY SHAW

Original Issue Date

08/22/2014

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

BUSHNELL

State

Zip

61422

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/02/2024