SAMANTHA RACHEL REGAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012831

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

RACHEL

Last Name

REGAN

Business Name

SAMANTHA RACHEL REGAN

Original Issue Date

06/08/2009

Effective Date

09/30/2021

Expiration Date

09/30/2024

City

SHELBYVILLE

State

Zip

37160

Ever Disciplined

LastModifiedDate

02/04/2025