SAMANTHA C BUB Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014080

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

BUB

Business Name

SAMANTHA C BUB

Original Issue Date

07/25/2012

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

09/19/2024