CHRISTOPHER LOUIS SHANK DMD 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

CHRISTOPHER

Middle

LOUIS

Last Name

SHANK

Suffix

DMD

Business Name

CHRISTOPHER LOUIS SHANK DMD

Original Issue Date

08/29/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009