SHANNON LANISE DAVIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012856

License Status

ACTIVE

Business

First Name

SHANNON

Middle

LANISE

Last Name

DAVIS

Business Name

SHANNON LANISE DAVIS

Original Issue Date

06/17/2009

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

08/28/2024