AMANDA ROMSA POLACK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002471

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ROMSA

Last Name

POLACK

Suffix

DMD

Business Name

AMANDA ROMSA POLACK DMD

Original Issue Date

08/10/2012

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

WASHINGTON

State

Zip

20003

County

DISTRICT OF COLUMBIA

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

10/31/2018