SHANNEN MARIE BLAIR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015605

License Status

ACTIVE

Business

First Name

SHANNEN

Middle

MARIE

Last Name

BLAIR

Business Name

SHANNEN MARIE BLAIR

Original Issue Date

07/25/2016

Effective Date

05/01/2025

Expiration Date

09/30/2027

City

DYER

State

Zip

46311

Ever Disciplined

LastModifiedDate

05/01/2025