SHAUNON M MOTEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023857

License Status

NOT RENEWED

Business

First Name

SHAUNON M

Last Name

MOTEN

Business Name

SHAUNON M MOTEN

Original Issue Date

05/15/1995

Effective Date

05/15/1995

Expiration Date

09/30/1996

City

WILKES BARRE

State

Zip

18702

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/12/2005