AMY M VICICH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007458

License Status

INACTIVE

Business

First Name

AMY M

Last Name

VICICH

Business Name

AMY M VICICH

Original Issue Date

07/26/1991

Effective Date

07/26/1991

Expiration Date

09/30/1996

City

LOUISVILLE

State

Zip

40222

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/12/2005