MARYANNE SHAW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002655

License Status

NOT RENEWED

Business

First Name

MARYANNE

Last Name

SHAW

Business Name

MARYANNE SHAW

Original Issue Date

07/29/1975

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/31/2018