SAMANTHA S BERNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007820

License Status

ACTIVE

Business

First Name

SAMANTHA S

Last Name

BERNER

Business Name

SAMANTHA S BERNER

Original Issue Date

09/11/1992

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

SULLIVAN

State

Zip

61951

Ever Disciplined

LastModifiedDate

06/06/2024