SHELLY AMANDA BEDAYSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030369

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

AMANDA

Last Name

BEDAYSE

Business Name

SHELLY AMANDA BEDAYSE

Original Issue Date

07/29/2015

Effective Date

07/29/2015

Expiration Date

09/30/2018

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018