CHRISTOPHER LOUIS SHANK DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001479

License Status

EXPIRED

Business

First Name

CHRISTOPHER

Middle

LOUIS

Last Name

SHANK

Suffix

DMD

Business Name

CHRISTOPHER LOUIS SHANK DMD

Original Issue Date

08/18/2004

Effective Date

08/18/2004

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005