AMANDA PAIGE PRENTICE DDS - Dentist License in Illinois | # 018002085

AMANDA PAIGE PRENTICE DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002085

License Status

EXPIRED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022