SAMANTHA JO WICKS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017758

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

WICKS

Business Name

SAMANTHA JO WICKS

Original Issue Date

11/15/2022

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

MT. ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

06/18/2025