AMY MARIE MEDINA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013855

License Status

ACTIVE

Business

First Name

AMY

Middle

MARIE

Last Name

MEDINA

Business Name

AMY MARIE MEDINA

Original Issue Date

02/01/2012

Effective Date

06/11/2024

Expiration Date

09/30/2027

City

NORRIS CITY

State

Zip

62869

County

WHITE

Ever Disciplined

LastModifiedDate

05/08/2024