TABITHA A SAMPSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012049

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

SAMPSON

Business Name

TABITHA A SAMPSON

Original Issue Date

06/13/2007

Effective Date

09/26/2018

Expiration Date

01/31/2022

City

RAMSEY

State

Zip

62080

County

FAYETTE

Ever Disciplined

LastModifiedDate

05/09/2022