AMANDA L KOELLING Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012316

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

KOELLING

Business Name

AMANDA L KOELLING

Original Issue Date

10/19/2007

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/05/2024