SHANNON MICHELLE LEWIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025219

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MICHELLE

Last Name

LEWIS

Business Name

SHANNON MICHELLE LEWIS

Original Issue Date

02/28/2000

Effective Date

02/28/2000

Expiration Date

09/30/2004

City

RICHMOND

State

Zip

23229

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/17/2005