Randolph Ken Shoup

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****97

Status

Expired (Not Renewed)

First issued

September 15, 1981

Expired

September 30, 1984

License holder

Randolph Ken Shoup

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Current term began

09/15/1981

Other Illinois licenses under this name

• IL
  Randolph Ken Shoup

  License 019017786

  Licensed Dentist (Dental)
  Expired

  Cairo, IL

  Expired Sep 30, 1984

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