AMANDA COLLEEN DRIVER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010529

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

COLLEEN

Last Name

DRIVER

Business Name

AMANDA COLLEEN DRIVER

Original Issue Date

02/13/2003

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/31/2018