OLEESA SHAPOWAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013075

License Status

NOT RENEWED

Business

First Name

OLEESA

Last Name

SHAPOWAL

Business Name

OLEESA SHAPOWAL

Original Issue Date

10/20/2009

Effective Date

09/28/2012

Expiration Date

09/30/2015

City

OAK CREEK

State

Zip

53154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016