AMANDA JANE LONG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013853

License Status

ACTIVE

Business

First Name

AMANDA

Middle

JANE

Last Name

LONG

Business Name

AMANDA JANE LONG

Original Issue Date

01/31/2012

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/09/2024