SAMANTHA JO CORN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011606

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

CORN

Business Name

SAMANTHA JO CORN

Original Issue Date

03/03/2006

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

MACEDONIA

State

Zip

62860

County

FRANKLIN

Ever Disciplined

LastModifiedDate

09/03/2024