HARRY ROBERT SHEPARD DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000358

License Status

INACTIVE

Business

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

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/13/2005