MORGAN MARIE SHANAHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

Title

DMD

First Name

MORGAN

Middle

MARIE

Last Name

SHANAHAN

Business Name

MORGAN MARIE SHANAHAN DMD

Original Issue Date

06/17/2021

Effective Date

06/09/2024

Expiration Date

09/30/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2024