KATHLEEN MARIE O'SHAUGHNESSY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015938

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

O'SHAUGHNESSY

Business Name

KATHLEEN MARIE O'SHAUGHNESSY

Original Issue Date

08/03/2017

Effective Date

08/03/2017

Expiration Date

09/30/2018

City

PORTAGE

State

Zip

46368

Ever Disciplined

LastModifiedDate

10/31/2018