AMY ELIZABETH ANDERSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008290

License Status

INACTIVE

Business

First Name

AMY

Middle

ELIZABETH

Last Name

ANDERSON

Business Name

AMY ELIZABETH ANDERSON

Original Issue Date

07/19/1994

Effective Date

08/28/2012

Expiration Date

09/30/2015

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

06/08/2015