SHAUN ALEX DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028030

License Status

NOT RENEWED

Business

First Name

SHAUN

Last Name

ALEX DDS

Business Name

SHAUN ALEX DDS

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

09/30/2012

City

PEWAUKEE

State

Zip

53072

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012