SAMANTHA LYNN HOLDER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027057

License Status

NOT RENEWED

Business

Title

DDS

First Name

SAMANTHA

Middle

LYNN

Last Name

HOLDER

Business Name

SAMANTHA LYNN HOLDER DDS

Original Issue Date

06/16/2006

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018