License holder summary

Glaze, Amanda Rae is a Dental - Expanded Function - Restorative I licensed to practice in Missouri. The address on file for Glaze, Amanda Rae is 410 Thost St , Fredericktown 63645. This licensed professional license is current. The license was granted 05/15/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Glaze, Amanda Rae
Dental - Expanded Function - Restorative I
License number
2013014465  
Date granted
05/15/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
410 Thost St 
licensingmissouri.org
ID 2032068
LAST UPDATED 2024-03-21 04:35:04 UTC

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