DEBORAH SUSAN SHANAHAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004951

License Status

ACTIVE

Business

First Name

DEBORAH

Middle

SUSAN

Last Name

SHANAHAN

Business Name

DEBORAH SUSAN SHANAHAN

Original Issue Date

08/03/1982

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/23/2024