MARK OWEN SHOGER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001102

License Status

NOT RENEWED

Business

First Name

MARK OWEN

Last Name

SHOGER

Suffix

DDS

Business Name

MARK OWEN SHOGER DDS

Original Issue Date

06/11/1981

Effective Date

06/11/1981

Expiration Date

09/30/1994

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005