AMANDA KRISTINE MAIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013331

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

KRISTINE

Last Name

MAIN

Business Name

AMANDA KRISTINE MAIN

Original Issue Date

07/13/2010

Effective Date

12/27/2021

Expiration Date

09/30/2024

City

ALTONA

State

Zip

61414

County

KNOX

Ever Disciplined

LastModifiedDate

02/04/2025