SCOTT WAYNE SHORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

Title

DDS

First Name

SCOTT

Middle

WAYNE

Last Name

SHORE

Business Name

SCOTT WAYNE SHORE DDS

Original Issue Date

11/02/1990

Effective Date

09/04/2015

Expiration Date

09/30/2018

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018