SHANE J DOOT DDS - Dentist License in Illinois | # 137000280

SHANE J DOOT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000280

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

J

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

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

05/09/2022