SAMANTHA BANUELOS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017735

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

BANUELOS

Business Name

SAMANTHA BANUELOS

Original Issue Date

09/14/2022

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/19/2024