SHANE AARON FISHER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000536

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

AARON

Last Name

FISHER

Suffix

DDS

Business Name

SHANE AARON FISHER DDS

Original Issue Date

10/09/2001

Effective Date

09/04/2012

Expiration Date

09/30/2015

City

MEQUON

State

Zip

53092

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

02/08/2016