SHAWN MICHAEL RECORD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023791

License Status

NOT RENEWED

Business

First Name

SHAWN MICHAEL

Last Name

RECORD

Suffix

DMD

Business Name

SHAWN MICHAEL RECORD DMD

Original Issue Date

02/02/1995

Effective Date

02/02/1995

Expiration Date

09/30/1998

City

HOLYOKE

State

Zip

01040

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/12/2005