SHANNA LEIGH SPINA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

SHANNA

Middle

LEIGH

Last Name

SPINA

Suffix

DMD

Business Name

SHANNA LEIGH SPINA DMD

Original Issue Date

05/25/1999

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024