SHANNON S SHANNON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000924

License Status

NOT RENEWED

Business

First Name

SHANNON S

Last Name

SHANNON

Suffix

DDS

Business Name

SHANNON S SHANNON DDS

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

07/01/1997

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005