THOMAS SHANNON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031544

License Status

NOT RENEWED

Business

First Name

THOMAS

Last Name

SHANNON

Business Name

THOMAS SHANNON

Original Issue Date

03/20/2018

Effective Date

09/17/2021

Expiration Date

09/30/2024

City

GRAND RAPIDS

State

Zip

49546

Ever Disciplined

LastModifiedDate

02/04/2025