SHAUN ALEX DDS - Dentist License in Wisconsin | # 019028030

SHAUN ALEX DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028030

License Status

NOT RENEWED

Business

N

First Name

SHAUN

Last Name

ALEX DDS

Business Name

SHAUN ALEX DDS

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

09/30/2012

State

WI

Ever Disciplined

N

LastModifiedDate

11/14/2012