SCOTT WAYNE SHORE DDS - Dentist License in Illinois | # 021000593

SCOTT WAYNE SHORE DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000593

License Status

ACTIVE

Business

N

Title

DDS

First Name

SCOTT

Middle

WAYNE

Last Name

SHORE

Business Name

SCOTT WAYNE SHORE DDS

Original Issue Date

12/19/1968

Effective Date

09/04/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

Y

LastModifiedDate

09/04/2024

Case Number

1995002002

Action

Probation

Discipline Start Date

03/11/2009

Discipline End Date

03/15/2010