JODI LENORE SHADIAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010988

License Status

ACTIVE

Business

First Name

JODI

Middle

LENORE

Last Name

SHADIAN

Business Name

JODI LENORE SHADIAN

Original Issue Date

06/22/2004

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/02/2024