MICHELLE JACYLN AMENT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHELLE

Middle

JACYLN

Last Name

AMENT

Business Name

MICHELLE JACYLN AMENT DDS

Original Issue Date

03/01/2017

Effective Date

03/01/2017

Expiration Date

09/30/2018

City

ROCHESTER HILLS

State

Zip

48309

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018