AMANDA JEAN LOSEY - Dentist License in Illinois | # 020012634

AMANDA JEAN LOSEY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012634

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

JEAN

Last Name

LOSEY

Business Name

AMANDA JEAN LOSEY

Original Issue Date

07/28/2008

Effective Date

01/05/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012