AMANDA MARIE MCKIBBEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012947

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

MCKIBBEN

Business Name

AMANDA MARIE MCKIBBEN

Original Issue Date

06/29/2009

Effective Date

10/02/2018

Expiration Date

01/31/2022

City

LERNA

State

Zip

62440

County

COLES

Ever Disciplined

LastModifiedDate

05/09/2022