AMANDA TA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034535

License Status

NOT RENEWED

Business

Title

DDS

First Name

AMANDA

Last Name

Business Name

AMANDA TA DDS

Original Issue Date

07/27/2023

Effective Date

07/27/2023

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025