AMANDA MICHELLE JOST - Dentist License in Illinois | # 020013098

AMANDA MICHELLE JOST

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013098

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016