SHELLY LYNN SARICH DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000090

License Status

EXPIRED

Business

First Name

SHELLY

Middle

LYNN

Last Name

SARICH

Suffix

DDS

Business Name

SHELLY LYNN SARICH DDS

Original Issue Date

07/14/2003

Effective Date

07/14/2003

Expiration Date

06/05/2005

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/13/2005