AMY LYN KOTTADIEL - Dentist License in Indiana | # 020012371

AMY LYN KOTTADIEL

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012371

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

LYN

Last Name

KOTTADIEL

Business Name

AMY LYN KOTTADIEL

Original Issue Date

02/07/2008

Effective Date

11/02/2021

Expiration Date

09/30/2024

State

IN

Ever Disciplined

N

LastModifiedDate

02/04/2025