SHANNON FREDERICKSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014087

License Status

ACTIVE

Business

First Name

SHANNON

Last Name

FREDERICKSEN

Business Name

SHANNON FREDERICKSEN

Original Issue Date

07/27/2012

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

LOWELL

State

Zip

46356

Ever Disciplined

LastModifiedDate

08/07/2024