SHANNON MAE PALM - Dentist License in Illinois | # 020013430

SHANNON MAE PALM

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013430

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

MAE

Last Name

PALM

Business Name

SHANNON MAE PALM

Original Issue Date

10/19/2010

Effective Date

08/17/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018