SHALLEN ELIZABETH MAHONEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018035

License Status

NOT RENEWED

Business

First Name

SHALLEN

Middle

ELIZABETH

Last Name

MAHONEY

Business Name

SHALLEN ELIZABETH MAHONEY

Original Issue Date

07/29/2023

Effective Date

07/29/2023

Expiration Date

09/30/2024

City

CEDAR LAKE

State

Zip

46303

Ever Disciplined

LastModifiedDate

02/04/2025