AMANDA L BROOMHEAD - Dentist License in Indiana | # 020012210

AMANDA L BROOMHEAD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012210

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

L

Last Name

BROOMHEAD

Business Name

AMANDA L BROOMHEAD

Original Issue Date

07/10/2007

Effective Date

12/15/2021

Expiration Date

09/30/2024

State

IN

Ever Disciplined

N

LastModifiedDate

04/01/2026