License Directory

Randolph Ken Shoup

Expired

Illinois license 019017786

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
019017786
Status
Expired (Not Renewed)
First issued
July 21, 1981
Expired
September 30, 1984
License holder
Randolph Ken Shoup
Entity type
Individual

Classifications

  • Licensed Dentist (Dental) Dental

More from the license record

Current term began
07/21/1981

Other Illinois licenses under this name

  • IL
    Randolph Ken Shoup
    License 31*****97
    Licensed Dentist Controlled Substance (Dental)
    Expired
    Cairo, IL
    Expired Sep 30, 1984

Contact

Cairo, IL 62914
Alexander County