JACK ALVIN SHANNON DDS - Dentist License in Oklahoma | # 019013454

JACK ALVIN SHANNON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013454

License Status

NOT RENEWED

Business

N

First Name

JACK ALVIN

Last Name

SHANNON

Suffix

DDS

Business Name

JACK ALVIN SHANNON DDS

Original Issue Date

07/16/1968

Effective Date

07/16/1968

Expiration Date

09/30/2004

State

OK

Ever Disciplined

N

LastModifiedDate

10/17/2005