ALEXANDER MICHAEL SHORE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

Title

DDS

First Name

ALEXANDER

Middle

MICHAEL

Last Name

SHORE

Business Name

ALEXANDER MICHAEL SHORE DDS

Original Issue Date

07/02/2022

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

HOMEWOOD

State

Zip

60430

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024