AMANDA TA DDS - Dentist License in Illinois | # 019034535

AMANDA TA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034535

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

AMANDA

Last Name

TA

Business Name

AMANDA TA DDS

Original Issue Date

07/27/2023

Effective Date

07/27/2023

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025