SHANE AARON FISHER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

AARON

Last Name

FISHER

Suffix

DDS

Business Name

SHANE AARON FISHER DDS

Original Issue Date

07/20/2001

Effective Date

09/04/2012

Expiration Date

09/30/2015

City

MEQUON

State

Zip

53092

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016