SHAWNNA LEE ASHLEY - Dentist License in Idaho | # 020009092

SHAWNNA LEE ASHLEY

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009092

License Status

INACTIVE

Business

N

First Name

SHAWNNA LEE

Last Name

ASHLEY

Business Name

SHAWNNA LEE ASHLEY

Original Issue Date

09/02/1997

Effective Date

09/02/1997

Expiration Date

09/30/2004

State

ID

Ever Disciplined

N

LastModifiedDate

10/17/2005