AMY L FAIRWEATHER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008476

License Status

ACTIVE

Business

First Name

AMY L

Last Name

FAIRWEATHER

Business Name

AMY L FAIRWEATHER

Original Issue Date

07/01/1995

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/02/2024