DENISE A TAYLOR-SHAW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

DENISE A

Last Name

TAYLOR-SHAW

Suffix

DDS

Business Name

DENISE A TAYLOR-SHAW DDS

Original Issue Date

08/08/1995

Effective Date

08/08/1995

Expiration Date

09/30/2004

City

NEW ATHENS

State

Zip

62264

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005