SAMANTHA KAY RADLOFF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012604

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

KAY

Last Name

RADLOFF

Business Name

SAMANTHA KAY RADLOFF

Original Issue Date

07/11/2008

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/09/2022