RICHARD SHUKES DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013279

License Status

INACTIVE

Business

First Name

RICHARD

Last Name

SHUKES

Suffix

DDS

Business Name

RICHARD SHUKES DDS

Original Issue Date

12/07/1967

Effective Date

12/07/1967

Expiration Date

09/30/1990

City

WAUSAU

State

Zip

54401

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005