SHAWNA JADE PERRY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

Title

DMD

First Name

SHAWNA

Middle

JADE

Last Name

PERRY

Business Name

SHAWNA JADE PERRY DMD

Original Issue Date

06/17/2020

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

ST.LOUIS

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024