AMBER M BURGENER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010105

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

Last Name

BURGENER

Business Name

AMBER M BURGENER

Original Issue Date

08/14/2001

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

MOWEAQUA

State

Zip

62550

County

SHELBY

Ever Disciplined

LastModifiedDate

05/09/2022