LUANN SHAW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004388

License Status

NOT RENEWED

Business

First Name

LUANN

Last Name

SHAW

Business Name

LUANN SHAW

Original Issue Date

10/08/1980

Effective Date

10/08/1980

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60614

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005