License holder summary

Shackelford, Lee Stephen is a Dentist licensed to practice in Missouri. The address on file for Shackelford, Lee Stephen is HC 70 PO Box 20  86044. This licensed professional license is current. The license was granted 11/16/2004 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Shackelford, Lee Stephen
Dentist
License number
2004032896  
Date granted
11/16/2004
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
HC 70 PO Box 20 
licensingmissouri.org
ID 2024411
LAST UPDATED 2024-05-04 14:39:24 UTC

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