RICHARD W SHUM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

RICHARD W

Last Name

SHUM

Business Name

RICHARD W SHUM

Original Issue Date

03/09/1989

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2024