SHANNON S SHANNON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

First Name

SHANNON S

Last Name

SHANNON

Suffix

DDS

Business Name

SHANNON S SHANNON DDS

Original Issue Date

08/15/1997

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024