SHANNON MICHELLE LEWIS - Dentist License in Virginia | # 019025219

SHANNON MICHELLE LEWIS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025219

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

MICHELLE

Last Name

LEWIS

Business Name

SHANNON MICHELLE LEWIS

Original Issue Date

02/28/2000

Effective Date

02/28/2000

Expiration Date

09/30/2004

State

VA

Ever Disciplined

N

LastModifiedDate

10/17/2005