Diane L Shaw

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

020004108

Status

Expired (Not Renewed)

First issued

April 28, 1980

Expired

September 30, 1984

License holder

Diane L Shaw

Entity type

Individual

Classifications

• Registered Dental Hygienist Dental

More from the license record

Current term began

04/28/1980

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