SHANNON M KENNEDY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014420

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

KENNEDY

Business Name

SHANNON M KENNEDY

Original Issue Date

07/25/2013

Effective Date

08/17/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

08/17/2024