MARK OWEN SHOGER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015564

License Status

NOT RENEWED

Business

First Name

MARK OWEN

Last Name

SHOGER

Suffix

DDS

Business Name

MARK OWEN SHOGER DDS

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1994

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/12/2005