MARK SHAIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018447

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

SHAIN

Business Name

MARK SHAIN

Original Issue Date

12/31/1982

Effective Date

12/31/1982

Expiration Date

09/30/1992

City

OAK PARK

State

Zip

48237

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005