MITCHELL B MCSHANE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

Title

DMD

First Name

MITCHELL

Middle

Last Name

MCSHANE

Business Name

MITCHELL B MCSHANE DMD

Original Issue Date

10/13/2021

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

ROSELLE

State

Zip

60172

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024