AMANDA LEIGH SHEPARD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012581

License Status

ACTIVE

Business

First Name

AMANDA

Middle

LEIGH

Last Name

SHEPARD

Business Name

AMANDA LEIGH SHEPARD

Original Issue Date

07/03/2008

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

DONGOLA

State

Zip

62926

County

UNION

Ever Disciplined

LastModifiedDate

10/01/2024