AMBRA DEE LATHEY - Dentist License in Virginia | # 020012126

AMBRA DEE LATHEY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012126

License Status

NOT RENEWED

Business

N

First Name

AMBRA

Middle

DEE

Last Name

LATHEY

Business Name

AMBRA DEE LATHEY

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

09/30/2009

State

VA

Ever Disciplined

N

LastModifiedDate

11/04/2009