AMANDA GRACE WALTNER - Dentist License in Illinois | # 020017565

AMANDA GRACE WALTNER

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017565

License Status

ACTIVE

Business

N

First Name

AMANDA

Middle

GRACE

Last Name

WALTNER

Business Name

AMANDA GRACE WALTNER

Original Issue Date

05/19/2022

Effective Date

08/24/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/24/2024