DAVID DEAN SHANNON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014678

License Status

NOT RENEWED

Business

First Name

DAVID DEAN

Last Name

SHANNON

Suffix

DDS

Business Name

DAVID DEAN SHANNON DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005