AMANDA L BROOMHEAD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012210

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BROOMHEAD

Business Name

AMANDA L BROOMHEAD

Original Issue Date

07/10/2007

Effective Date

12/15/2021

Expiration Date

09/30/2024

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

02/04/2025