CHARLES HENRY SHANER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

CHARLES HENRY

Last Name

SHANER

Business Name

CHARLES HENRY SHANER

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/13/2005