SHAWN M LOPEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006578

License Status

NOT RENEWED

Business

First Name

SHAWN M

Last Name

LOPEZ

Business Name

SHAWN M LOPEZ

Original Issue Date

11/18/1987

Effective Date

11/18/1987

Expiration Date

09/30/1994

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1992004116

Action

Reprimand

Discipline Start Date

03/26/1993

Discipline Reason

Practicing while license was in a suspended status.