MONTANA ANGELIQUE DODGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015686

License Status

NOT RENEWED

Business

First Name

MONTANA

Middle

ANGELIQUE

Last Name

DODGE

Business Name

MONTANA ANGELIQUE DODGE

Original Issue Date

11/14/2016

Effective Date

11/14/2016

Expiration Date

09/30/2018

City

URBANDALE

State

Zip

50322

County

IOWA

Ever Disciplined

LastModifiedDate

10/31/2018