DOMINIQUE LYNNETTE AMERSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016669

License Status

INACTIVE

Business

First Name

DOMINIQUE

Middle

LYNNETTE

Last Name

AMERSON

Business Name

DOMINIQUE LYNNETTE AMERSON

Original Issue Date

08/12/2019

Effective Date

08/12/2019

Expiration Date

12/31/2021

City

CLARKSVILLE

State

Zip

37042

Ever Disciplined

LastModifiedDate

10/14/2021