Kaleb Blaine Shumard Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049269672

Status

Expired (Not Renewed)

First issued

December 4, 2019

Expired

May 31, 2022

License holder

Kaleb Blaine Shumard

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

03/16/2021

Other Illinois licenses under this name

• IL
  Kaleb Blaine Shumard Dmd

  License 019036105 · Kaleb Blaine Shumard

  Licensed Dentist (Dental)
  Active

  Decatur, IL

  Expires Sep 30, 2027
• IL
  Kaleb Blaine Shumard Dmd

  License 31*****15 · Kaleb Blaine Shumard

  Licensed Dentist Controlled Substance (Dental)
  Active

  Decatur, IL

  Expires Sep 30, 2027

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