SHANNON ELIZABETH NOVAK DMD - Dentist License in Illinois | # 019029744

SHANNON ELIZABETH NOVAK DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029744

License Status

INACTIVE

Business

N

Title

DMD

First Name

SHANNON

Middle

ELIZABETH

Last Name

NOVAK

Business Name

SHANNON ELIZABETH NOVAK DMD

Original Issue Date

06/10/2014

Effective Date

06/10/2014

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

06/08/2015