THOMAS G SHAW Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024044

License Status

INACTIVE

Business

First Name

THOMAS G

Last Name

SHAW

Business Name

THOMAS G SHAW

Original Issue Date

11/20/1995

Effective Date

11/20/1995

Expiration Date

09/30/1996

City

THIENSVILLE

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005