AMY L HARTMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007685

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

HARTMAN

Business Name

AMY L HARTMAN

Original Issue Date

07/08/1992

Effective Date

09/25/2009

Expiration Date

09/30/2012

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Ever Disciplined

LastModifiedDate

11/14/2012