ANDREA ANN CHAMBERLAIN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011602

License Status

INACTIVE

Business

First Name

ANDREA

Middle

ANN

Last Name

CHAMBERLAIN

Business Name

ANDREA ANN CHAMBERLAIN

Original Issue Date

03/02/2006

Effective Date

10/01/2018

Expiration Date

12/31/2021

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

12/30/2021