STEFANIE GROSS SHANCK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007115

License Status

INACTIVE

Business

First Name

STEFANIE GROSS

Last Name

SHANCK

Business Name

STEFANIE GROSS SHANCK

Original Issue Date

02/15/1990

Effective Date

02/15/1990

Expiration Date

09/30/1994

City

HINGHAM

State

Zip

02043

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/12/2005