Maurice Anthony Shively Dds
ExpiredIllinois license 019011678
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019011678
- Status
- Expired (Not Renewed)
- First issued
- July 27, 1960
- Expired
- September 30, 1976
- License holder
- Maurice Anthony Shively Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/27/1960
Contact
Carterville, IL 62918
Williamson County