SHAWN COLLINS FARRELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003668

License Status

NOT RENEWED

Business

First Name

SHAWN

Last Name

COLLINS FARRELL

Business Name

SHAWN COLLINS FARRELL

Original Issue Date

08/21/1978

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

11/14/2012