SHANNON ELIZABETH NOVAK DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029744

License Status

INACTIVE

Business

Title

DMD

First Name

SHANNON

Middle

ELIZABETH

Last Name

NOVAK

Business Name

SHANNON ELIZABETH NOVAK DMD

Original Issue Date

06/10/2014

Effective Date

06/10/2014

Expiration Date

09/30/2015

City

WHITE HALL

State

Zip

62092

County

GREENE

Ever Disciplined

LastModifiedDate

06/08/2015