BETH E SHAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004843

License Status

INACTIVE

Business

First Name

BETH

Middle

Last Name

SHAN

Business Name

BETH E SHAN

Original Issue Date

07/16/1982

Effective Date

08/29/2012

Expiration Date

09/30/2015

City

NOBLE

State

Zip

62868

County

RICHLAND

Ever Disciplined

LastModifiedDate

06/08/2015