DENISE Y SHIH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000812

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

Last Name

SHIH

Business Name

DENISE Y SHIH

Original Issue Date

06/13/2011

Effective Date

06/13/2011

Expiration Date

09/30/2012

City

MEQUON

State

Zip

53092

County

WISCONSIN

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

11/14/2012