SHANE GALEN SUDMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024788

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

GALEN

Last Name

SUDMAN

Suffix

DDS

Business Name

SHANE GALEN SUDMAN DDS

Original Issue Date

07/31/1998

Effective Date

06/11/2015

Expiration Date

09/30/2018

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018