AMANDA SUZZANNE NASH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012802

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

SUZZANNE

Last Name

NASH

Business Name

AMANDA SUZZANNE NASH

Original Issue Date

05/29/2009

Effective Date

09/23/2009

Expiration Date

09/30/2012

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/14/2012