MARYBETH AMENTA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012145

License Status

ACTIVE

Business

First Name

MARYBETH

Last Name

AMENTA

Business Name

MARYBETH AMENTA

Original Issue Date

06/25/2007

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

09/17/2024