AMBRA DEE LATHEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012126

License Status

NOT RENEWED

Business

First Name

AMBRA

Middle

DEE

Last Name

LATHEY

Business Name

AMBRA DEE LATHEY

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

09/30/2009

City

NORTH CHESTERFIELD

State

Zip

23237

Ever Disciplined

LastModifiedDate

11/04/2009