License holder summary

Blackmon, Amanda Marie is a Dentist licensed to practice in Missouri. The address on file for Blackmon, Amanda Marie is 10232 NE 102nd Ln , Kansas City 64157. This licensed professional license is current. The license was granted 05/24/2011 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Blackmon, Amanda Marie
Dentist
License number
2011014525  
Date granted
05/24/2011
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
10232 NE 102nd Ln 
licensingmissouri.org
ID 2015627
LAST UPDATED 2024-05-15 02:13:34 UTC

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