AMY M KILLEBREW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007494

License Status

NOT RENEWED

Business

First Name

AMY M

Last Name

KILLEBREW

Business Name

AMY M KILLEBREW

Original Issue Date

08/05/1991

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FORT MILL

State

Zip

29708

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006