SHANA L COGLIANESE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010770

License Status

ACTIVE

Business

First Name

SHANA

Middle

Last Name

COGLIANESE

Business Name

SHANA L COGLIANESE

Original Issue Date

08/15/2003

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

PINGREE GROVE

State

Zip

60140

Ever Disciplined

LastModifiedDate

09/30/2024