PHILLIP E O SHAUGHNESSY
Dentistry Board - Dental Corporation
Indiana 54000246A Expired
This Indiana license was held by PHILLIP E O SHAUGHNESSY. The license is no longer active. It was granted on 01/01/1978 and expired on 01/31/1996
LICENSE DETAILS
- License Number: 54000246A
- Category: Dental Corporation
- Status: Expired
- Date Granted: 01/01/1978 (over 46 years ago)
- Expiry Date: 01/31/1996 (about 28 years ago)
LOCATIONS
A Address
6814 COVINGTON CREEK TRAIL, FORT WAYNE IN 46804