SHANNON MARIE PAYNE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010117

License Status

ACTIVE

Business

First Name

SHANNON

Middle

MARIE

Last Name

PAYNE

Business Name

SHANNON MARIE PAYNE

Original Issue Date

08/17/2001

Effective Date

08/25/2024

Expiration Date

09/30/2027

City

MAHOMET

State

Zip

61853

Ever Disciplined

LastModifiedDate

08/25/2024