AMIE DEPAUW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005625

License Status

NOT RENEWED

Business

First Name

AMIE

Last Name

DEPAUW

Business Name

AMIE DEPAUW

Original Issue Date

08/16/1984

Effective Date

10/02/2018

Expiration Date

01/31/2022

City

ROXANA

State

Zip

62084

County

MADISON

Ever Disciplined

LastModifiedDate

05/09/2022