AMBER LYNN MANZELLA - Dentist License in Indiana | # 020014891

AMBER LYNN MANZELLA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014891

License Status

NOT RENEWED

Business

N

First Name

AMBER

Middle

LYNN

Last Name

MANZELLA

Business Name

AMBER LYNN MANZELLA

Original Issue Date

08/25/2014

Effective Date

10/01/2018

Expiration Date

01/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

05/09/2022