ALEXANDER MICHAEL SHORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALEXANDER

Middle

MICHAEL

Last Name

SHORE

Business Name

ALEXANDER MICHAEL SHORE DDS

Original Issue Date

10/01/2019

Effective Date

09/29/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025