SHAUN ERIC SOUCIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027172

License Status

NOT RENEWED

Business

First Name

SHAUN

Middle

ERIC

Last Name

SOUCIE

Suffix

DDS

Business Name

SHAUN ERIC SOUCIE DDS

Original Issue Date

07/27/2006

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012