AMANDA K STAPLETON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010935

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

STAPLETON

Business Name

AMANDA K STAPLETON

Original Issue Date

06/18/2004

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

09/03/2024