ASHLYNN S AMELON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

ASHLYNN

Middle

Last Name

AMELON

Business Name

ASHLYNN S AMELON

Original Issue Date

07/16/2014

Effective Date

07/07/2015

Expiration Date

09/30/2018

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018