ERIN P SHANAHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

ACTIVE

Business

First Name

ERIN P

Last Name

SHANAHAN

Suffix

DMD

Business Name

ERIN P SHANAHAN DMD

Original Issue Date

01/14/1992

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

DUNLAP

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024