PATRICK GERALD MCSHANE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

PATRICK

Middle

GERALD

Last Name

MCSHANE

Business Name

PATRICK GERALD MCSHANE

Original Issue Date

04/06/2015

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/01/2024