SHELLEY R PROUSE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010756

License Status

ACTIVE

Business

First Name

SHELLEY

Middle

Last Name

PROUSE

Business Name

SHELLEY R PROUSE

Original Issue Date

08/08/2003

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

05/13/2024