MARK OWEN SHOGER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

MARK OWEN

Last Name

SHOGER

Suffix

DDS

Business Name

MARK OWEN SHOGER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005