PATRICIA SHEPP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001939

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

SHEPP

Business Name

PATRICIA SHEPP

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/1996

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005