AMANDA J ERICSON - Dentist License in Missouri | # 020014586

AMANDA J ERICSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014586

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

J

Last Name

ERICSON

Business Name

AMANDA J ERICSON

Original Issue Date

01/08/2014

Effective Date

07/28/2015

Expiration Date

09/30/2018

State

MO

Ever Disciplined

N

LastModifiedDate

10/31/2018