AMANDA KAY LARSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012242

License Status

ACTIVE

Business

First Name

AMANDA

Middle

KAY

Last Name

LARSON

Business Name

AMANDA KAY LARSON

Original Issue Date

07/27/2007

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

VALPARAISO

State

Zip

46383

Ever Disciplined

LastModifiedDate

10/16/2024