AMANDA NICHOLE DYER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

First Name

AMANDA

Middle

NICHOLE

Last Name

DYER

Business Name

AMANDA NICHOLE DYER

Original Issue Date

01/17/2019

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

KILDEER

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024