HAROLD M SHAVELL DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

INOPERATIVE

Business

First Name

HAROLD M

Last Name

SHAVELL

Suffix

DDS

Business Name

HAROLD M SHAVELL DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005