KIMBERLY ANN SHANE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009048

License Status

ACTIVE

Business

First Name

KIMBERLY ANN

Last Name

SHANE

Business Name

KIMBERLY ANN SHANE

Original Issue Date

07/30/1997

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/10/2024