SHANNON M DOUGHERTY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013655

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

DOUGHERTY

Business Name

SHANNON M DOUGHERTY

Original Issue Date

07/12/2011

Effective Date

07/12/2011

Expiration Date

09/30/2012

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

11/14/2012