ALEXIS RAEANNE SHIMBOFF Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017455

License Status

ACTIVE

Business

First Name

ALEXIS

Middle

RAEANNE

Last Name

SHIMBOFF

Business Name

ALEXIS RAEANNE SHIMBOFF

Original Issue Date

10/19/2021

Effective Date

08/10/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

08/10/2024