AMY J DODGE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016179

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

DODGE

Business Name

AMY J DODGE

Original Issue Date

07/09/2018

Effective Date

05/04/2024

Expiration Date

09/30/2027

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2024