KEYANNI SHAW DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035309

License Status

ACTIVE

Business

Title

DDS

First Name

KEYANNI

Last Name

SHAW

Business Name

KEYANNI SHAW DDS

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

06/18/2024