Thomas Patrick Shannon
ExpiredCalifornia license 102395
License
- Licensed by
- Dental Board of California
- License number
- 102395
- Status
- Expired (Delinquent)
- First issued
- April 28, 2018
- Expired
- September 30, 2023
- License holder
- Thomas Patrick Shannon
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
625 Kenmoor Ave SE
Ste 350 Pmb62832
Grand Rapids, MI 49546-2395
Ste 350 Pmb62832
Grand Rapids, MI 49546-2395
Kent County