AMANDA MARY HAUSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016741

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARY

Last Name

HAUSE

Business Name

AMANDA MARY HAUSE

Original Issue Date

09/06/2019

Effective Date

09/06/2019

Expiration Date

01/31/2022

City

HIGHLAND

State

Zip

46322

County

LAKE

Ever Disciplined

LastModifiedDate

05/09/2022