SHAYNON DALLAS MARTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009542

License Status

NOT RENEWED

Business

First Name

SHAYNON

Middle

DALLAS

Last Name

MARTIN

Business Name

SHAYNON DALLAS MARTIN

Original Issue Date

07/13/1999

Effective Date

07/13/1999

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005