SHANNON MARIE HAVEL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

Title

DDS

First Name

SHANNON

Middle

MARIE

Last Name

HAVEL

Business Name

SHANNON MARIE HAVEL DDS

Original Issue Date

07/10/2025

Effective Date

07/10/2025

Expiration Date

09/30/2027

City

RAYMOND

State

Zip

50667

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2025