SHAUNA LEE GOLBA - Dentist License in Illinois | # 020011670

SHAUNA LEE GOLBA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011670

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018