ROBERT ROSS-SHANNON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009975

License Status

NOT RENEWED

Business

First Name

ROBERT

Last Name

ROSS-SHANNON

Business Name

ROBERT ROSS-SHANNON

Original Issue Date

08/23/1951

Effective Date

08/23/1951

Expiration Date

09/30/1986

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005