SHANNON J GENOW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012302

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

GENOW

Business Name

SHANNON J GENOW

Original Issue Date

10/01/2007

Effective Date

09/14/2012

Expiration Date

09/30/2015

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

04/25/2016