AMANDA RUTH GREENLEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026651

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

RUTH

Last Name

GREENLEE

Suffix

DDS

Business Name

AMANDA RUTH GREENLEE DDS

Original Issue Date

02/04/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

INDIANAPOLIS

State

Zip

46236

County

INDIANA

Ever Disciplined

LastModifiedDate

11/08/2006