AMY LYN KOTTADIEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012371

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYN

Last Name

KOTTADIEL

Business Name

AMY LYN KOTTADIEL

Original Issue Date

02/07/2008

Effective Date

11/02/2021

Expiration Date

09/30/2024

City

LOGANSPORT

State

Zip

46947

Ever Disciplined

LastModifiedDate

02/04/2025