PATRICK GERALD MCSHANE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002642

License Status

ACTIVE

Business

First Name

PATRICK

Middle

GERALD

Last Name

MCSHANE

Business Name

PATRICK GERALD MCSHANE

Original Issue Date

12/01/2014

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

05/01/2024