IAN SHANE KAVANAUGH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012855

License Status

ACTIVE

Business

First Name

IAN

Middle

SHANE

Last Name

KAVANAUGH

Business Name

IAN SHANE KAVANAUGH

Original Issue Date

06/16/2009

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

CASA GRANDE

State

Zip

85122

Ever Disciplined

LastModifiedDate

09/20/2024