EVANTHIA NICOLE SHOOK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

Title

DMD

First Name

EVANTHIA

Middle

NICOLE

Last Name

SHOOK

Business Name

EVANTHIA NICOLE SHOOK DMD

Original Issue Date

05/17/2021

Effective Date

05/17/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2024