SHANDY SHEA CONDIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025401

License Status

NOT RENEWED

Business

First Name

SHANDY

Middle

SHEA

Last Name

CONDIE

Suffix

DDS

Business Name

SHANDY SHEA CONDIE DDS

Original Issue Date

09/14/2000

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/26/2007