AMY M WYATT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027147

License Status

ACTIVE

Business

Title

DMD

First Name

AMY

Middle

Last Name

WYATT

Business Name

AMY M WYATT DMD

Original Issue Date

07/18/2006

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

08/16/2024