AMANDA PAIGE PRENTICE DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002085

License Status

EXPIRED

Business

Title

DDS

First Name

AMANDA

Middle

PAIGE

Last Name

PRENTICE

Business Name

AMANDA PAIGE PRENTICE DDS

Original Issue Date

07/23/2018

Effective Date

07/23/2018

Expiration Date

07/22/2021

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022