Kelly Patrick Shaw
ExpiredCalifornia license 31859
License
- Licensed by
- Dental Board of California
- License number
- 31859
- Status
- Expired (Delinquent)
- First issued
- July 22, 1983
- Expired
- October 31, 2021
- License holder
- Kelly Patrick Shaw
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
75-5995 Kuakiwi Hwy #113
Kailua, HI 96740
Kailua, HI 96740
Hawaii County