AMANDA MICHELLE JOST Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013098

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MICHELLE

Last Name

JOST

Business Name

AMANDA MICHELLE JOST

Original Issue Date

01/12/2010

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/25/2016