SHANNON M BHARGAVA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025557

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

BHARGAVA

Business Name

SHANNON M BHARGAVA

Original Issue Date

06/11/2001

Effective Date

06/11/2001

Expiration Date

09/30/2004

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005