TIMOTHY MICHAEL SHANAHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019174

License Status

NOT RENEWED

Business

First Name

TIMOTHY MICHAEL

Last Name

SHANAHAN

Business Name

TIMOTHY MICHAEL SHANAHAN

Original Issue Date

08/08/1984

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2022