SHEA MICHAEL MCCUE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

Title

DDS

First Name

SHEA

Middle

MICHAEL

Last Name

MCCUE

Business Name

SHEA MICHAEL MCCUE DDS

Original Issue Date

04/30/2015

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024