SHANNON KELLY MILLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011534

License Status

ACTIVE

Business

First Name

SHANNON

Middle

KELLY

Last Name

MILLER

Business Name

SHANNON KELLY MILLER

Original Issue Date

10/06/2005

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

OQUAWKA

State

Zip

61469

County

HENDERSON

Ever Disciplined

LastModifiedDate

09/05/2024