Jack Alvin Shannon Dds
ExpiredIllinois license 019013454
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019013454
- Status
- Expired (Not Renewed)
- First issued
- July 16, 1968
- Expired
- September 30, 2004
- License holder
- Jack Alvin Shannon Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/16/1968
Contact
Coweta, OK 74429
Oklahoma County