SHANNON R CUMMINS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

SHANNON R

Last Name

CUMMINS

Suffix

DMD

Business Name

SHANNON R CUMMINS DMD

Original Issue Date

10/07/1987

Effective Date

02/14/2022

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025