AMY NICOLE WILLIAMS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011076

License Status

NOT RENEWED

Business

First Name

AMY

Middle

NICOLE

Last Name

WILLIAMS

Business Name

AMY NICOLE WILLIAMS

Original Issue Date

07/06/2004

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

DU QUOIN

State

Zip

62832

Ever Disciplined

LastModifiedDate

11/14/2012