SHAYNON DALLAS MARTIN - Dentist License in Illinois | # 020009542

SHAYNON DALLAS MARTIN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009542

License Status

NOT RENEWED

Business

N

First Name

SHAYNON

Middle

DALLAS

Last Name

MARTIN

Business Name

SHAYNON DALLAS MARTIN

Original Issue Date

07/13/1999

Effective Date

07/13/1999

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005