JAMES G SHUNK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

JAMES G

Last Name

SHUNK

Suffix

DMD

Business Name

JAMES G SHUNK DMD

Original Issue Date

08/23/1990

Effective Date

08/23/1990

Expiration Date

09/30/1992

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005