VICKI LANE SHEEHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

LANE

Last Name

SHEEHAN

Business Name

VICKI LANE SHEEHAN

Original Issue Date

03/09/2011

Effective Date

09/21/2021

Expiration Date

09/30/2024

City

MILWAUKEE

State

Zip

53228

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

02/04/2025