ELLEN DOROTHY SHEMANCIK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003347

License Status

NOT RENEWED

Business

First Name

ELLEN DOROTHY

Last Name

SHEMANCIK

Business Name

ELLEN DOROTHY SHEMANCIK

Original Issue Date

08/24/1977

Effective Date

08/24/1977

Expiration Date

09/30/1988

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005