AMANDA NICOLE HUISMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015893

License Status

ACTIVE

Business

First Name

AMANDA

Middle

NICOLE

Last Name

HUISMAN

Business Name

AMANDA NICOLE HUISMAN

Original Issue Date

08/01/2017

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2024