AMY ANN EBERT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010256

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ANN

Last Name

EBERT

Business Name

AMY ANN EBERT

Original Issue Date

03/26/2002

Effective Date

03/26/2002

Expiration Date

09/30/2004

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005