COLLEEN KANE SHANDLEY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

KANE

Last Name

SHANDLEY

Business Name

COLLEEN KANE SHANDLEY

Original Issue Date

08/23/2018

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

HOFFMAN ESTATES

State

Zip

60192

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024