AMANDA J ERICSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014586

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

ERICSON

Business Name

AMANDA J ERICSON

Original Issue Date

01/08/2014

Effective Date

07/28/2015

Expiration Date

09/30/2018

City

HANNIBAL

State

Zip

63401

County

MARION

Ever Disciplined

LastModifiedDate

10/31/2018