DALE D SHAHAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

DALE

Middle

Last Name

SHAHAN

Suffix

DDS

Business Name

DALE D SHAHAN DDS

Original Issue Date

01/01/1998

Effective Date

10/26/2021

Expiration Date

09/30/2024

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025

Case Number

1982000051

Action

Probation

Discipline Start Date

03/10/1988

Discipline End Date

03/16/1988