AMANDA J SCHULTZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013079

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

SCHULTZ

Business Name

AMANDA J SCHULTZ

Original Issue Date

11/02/2009

Effective Date

11/02/2009

Expiration Date

09/30/2012

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012