LAURIE L AMBROSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006708

License Status

NOT RENEWED

Business

First Name

LAURIE L

Last Name

AMBROSE

Business Name

LAURIE L AMBROSE

Original Issue Date

07/27/1988

Effective Date

12/17/2021

Expiration Date

09/30/2024

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/04/2025