Randall Loren Shaw

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019019726

Status

Expired (Not Renewed)

First issued

August 6, 1985

Expired

September 30, 1986

License holder

Randall Loren Shaw

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/06/1985

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