LACI DAWN SHEPARD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009972

License Status

ACTIVE

Business

First Name

LACI

Middle

DAWN

Last Name

SHEPARD

Business Name

LACI DAWN SHEPARD

Original Issue Date

03/27/2001

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

ALTAMONT

State

Zip

62411

Ever Disciplined

LastModifiedDate

08/05/2024