SHANNON R GURKIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011188

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

GURKIN

Business Name

SHANNON R GURKIN

Original Issue Date

10/01/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/10/2007