AMANDA PAPPAS SHAFFER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001073

License Status

ACTIVE

Business

Title

DMD

First Name

AMANDA

Middle

PAPPAS

Last Name

SHAFFER

Business Name

AMANDA PAPPAS SHAFFER DMD

Original Issue Date

11/20/2020

Effective Date

07/08/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION - PERMIT A

Ever Disciplined

LastModifiedDate

07/08/2024