AMANDA COLLINS DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002257

License Status

CANCELLED

Business

Title

DMD

First Name

AMANDA

Last Name

COLLINS

Business Name

AMANDA COLLINS DMD

Original Issue Date

09/28/2023

Effective Date

09/28/2023

Expiration Date

09/30/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

09/28/2023