SHANE MICHAEL VAN VLEET DMD

Licensed Dentist Controlled Substance

Illinois  319016326   Not Renewed

This Illinois license was held by SHANE MICHAEL VAN VLEET DMD. The license is no longer active. It was granted on 08/20/2007 and expired on 09/30/2015

LICENSE DETAILS

  • License Number: 319016326
  • Category: LICENSED DENTIST CONTROLLED SUBSTANCE
  • Status: Not Renewed
  • Date Granted: 08/20/2007 (almost 18 years ago)
  • Expiry Date: 09/30/2015 (over 9 years ago)

LOCATIONS

A Address

Macomb, IL 61455-2517