COLIN SIMEON SHAW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019779

License Status

NOT RENEWED

Business

First Name

COLIN SIMEON

Last Name

SHAW

Business Name

COLIN SIMEON SHAW

Original Issue Date

08/22/1985

Effective Date

08/22/1985

Expiration Date

09/30/1996

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005