MONTANA ANGELIQUE DODGE - Dentist License in Iowa | # 020015686

MONTANA ANGELIQUE DODGE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015686

License Status

NOT RENEWED

Business

N

First Name

MONTANA

Middle

ANGELIQUE

Last Name

DODGE

Business Name

MONTANA ANGELIQUE DODGE

Original Issue Date

11/14/2016

Effective Date

11/14/2016

Expiration Date

09/30/2018

State

IA

Ever Disciplined

N

LastModifiedDate

10/31/2018