RICHARD C SHAY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

RICHARD C

Last Name

SHAY

Business Name

RICHARD C SHAY

Original Issue Date

03/14/2017

Effective Date

03/14/2017

Expiration Date

09/30/2018

City

ROSELLE

State

Zip

60172

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018