SAMANTHA LATHAM - Dentist License in Indiana | # 020016346

SAMANTHA LATHAM

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016346

License Status

ACTIVE

Business

N

First Name

SAMANTHA

Last Name

LATHAM

Business Name

SAMANTHA LATHAM

Original Issue Date

09/07/2018

Effective Date

09/28/2024

Expiration Date

09/30/2027

State

IN

Ever Disciplined

N

LastModifiedDate

06/07/2025