AMBER LYNN MANZELLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014891

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

LYNN

Last Name

MANZELLA

Business Name

AMBER LYNN MANZELLA

Original Issue Date

08/25/2014

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

05/09/2022