SHANNA MARIE DAVIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010589

License Status

NOT RENEWED

Business

First Name

SHANNA

Middle

MARIE

Last Name

DAVIS

Business Name

SHANNA MARIE DAVIS

Original Issue Date

06/12/2003

Effective Date

10/02/2018

Expiration Date

01/31/2022

City

DU QUOIN

State

Zip

62832

County

JACKSON

Ever Disciplined

LastModifiedDate

05/09/2022