SHAUN PATRICK MCCUE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

Title

DMD

First Name

SHAUN

Middle

PATRICK

Last Name

MCCUE

Business Name

SHAUN PATRICK MCCUE DMD

Original Issue Date

01/25/2016

Effective Date

01/25/2016

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/31/2018