HARRY ROBERT SHEPARD DDS - Dentist License in Illinois | # 021000358

HARRY ROBERT SHEPARD DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000358

License Status

INACTIVE

Business

N

First Name

HARRY ROBERT

Last Name

SHEPARD

Suffix

DDS

Business Name

HARRY ROBERT SHEPARD DDS

Original Issue Date

11/21/1962

Effective Date

11/21/1962

Expiration Date

09/30/1990

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005