SHANNON S SAMUELS-FARMER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

First Name

SHANNON S

Last Name

SAMUELS-FARMER

Suffix

DDS

Business Name

SHANNON S SAMUELS-FARMER DDS

Original Issue Date

02/09/1989

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/24/2024