SHANNON S SHANNON DDS - Dentist License in Illinois | # 018000924

SHANNON S SHANNON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000924

License Status

NOT RENEWED

Business

N

First Name

SHANNON S

Last Name

SHANNON

Suffix

DDS

Business Name

SHANNON S SHANNON DDS

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

07/01/1997

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005