AMANDA MICHELLE ELLIOTT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012618

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MICHELLE

Last Name

ELLIOTT

Business Name

AMANDA MICHELLE ELLIOTT

Original Issue Date

07/22/2008

Effective Date

07/22/2008

Expiration Date

09/30/2009

City

COLUMBIA

State

Zip

65203

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/04/2009