AMANDA MARIE HEATH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011301

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

HEATH

Business Name

AMANDA MARIE HEATH

Original Issue Date

06/13/2005

Effective Date

12/29/2021

Expiration Date

09/30/2024

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/04/2025