MATTHEW B SHAUGHNESSY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

SHAUGHNESSY

Business Name

MATTHEW B SHAUGHNESSY

Original Issue Date

11/12/2021

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

BRECKSVILLE

State

Zip

44141

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024