SUE ANN SHEPHERD - Dentist License in Illinois | # 020003119

SUE ANN SHEPHERD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003119

License Status

NOT RENEWED

Business

N

First Name

SUE ANN

Last Name

SHEPHERD

Business Name

SUE ANN SHEPHERD

Original Issue Date

06/09/1977

Effective Date

06/09/1977

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005