AMY L HAAKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007886

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

HAAKE

Business Name

AMY L HAAKE

Original Issue Date

01/09/1993

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

OLATHE

State

Zip

66061

County

KANSAS

Ever Disciplined

LastModifiedDate

11/08/2006