SAMANTHA LATHAM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016346

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

LATHAM

Business Name

SAMANTHA LATHAM

Original Issue Date

09/07/2018

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

06/07/2025