SHAUNA LEE GOLBA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011670

License Status

NOT RENEWED

Business

First Name

SHAUNA

Middle

LEE

Last Name

GOLBA

Business Name

SHAUNA LEE GOLBA

Original Issue Date

06/22/2006

Effective Date

09/01/2015

Expiration Date

09/30/2018

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/31/2018