DAVID DEAN SHANNON DDS - Dentist License in Illinois | # 019014678

DAVID DEAN SHANNON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014678

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005