Staci M Shaw
ActiveIllinois license 020009887
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020009887
- Status
- Active
- First issued
- August 3, 2000
- Expires
- September 30, 2027
- License holder
- Staci M Shaw
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/27/2024
Contact
Mahomet, IL 61853
Champaign County