RANDALL LOREN SHAW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019726

License Status

NOT RENEWED

Business

First Name

RANDALL LOREN

Last Name

SHAW

Business Name

RANDALL LOREN SHAW

Original Issue Date

08/06/1985

Effective Date

08/06/1985

Expiration Date

09/30/1986

City

ST LOUIS

State

Zip

63103

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005