SHANE J DOOT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000280

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

DOOT

Suffix

DDS

Business Name

SHANE J DOOT DDS

Original Issue Date

10/27/1990

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

05/09/2022