black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
OFFICE OF PROFESSIONAL AND OCCUPATIONAL REGULATION
BOARD OF DENTAL PRACTICE

AMANDA MAE WORSTER

Notices

Detailed Information
Please review all license/permit type history, as applicable, for complete verification.

DENTAL HYGIENIST

License Number:
RDH3528
Status:
Expiration Date:
12/31/2026
Licensed By:
Standard

Mailing:
WEST BATH, ME 04530

History

License Type Start Date End Date
DENTAL HYGIENIST 05/29/2007 12/31/2026

Supervisor

Name License Number
KEVIN MICHAEL LUKIS, DDS
DEN4321

Supervisor - Dental Therapy / Provisional Dental Therapy

None.

Supervisor - Public Health

None.

PHS Activity

None.

Supervision - Dental Radiographer

None.

Specialty/Practice Authority

Description Issue Date Termination Date Status
Local Anesthesia 10/28/2018 ACTIVE
Nitrous Oxide Analgesia 10/28/2018 ACTIVE

License/Disciplinary Action

None.

DENTAL RADIOGRAPHER

License Number:
RAD2497
Status:
Expiration Date:
06/01/2011

Mailing:
WEST BATH, ME 04530

History

License Type Start Date End Date
DENTAL RADIOGRAPHER 05/19/2006 05/31/2011

Supervisor

None.

Supervisor - Dental Hygienist

None.

License/Disciplinary Action

None.

LOCAL ANESTHESIA PERMIT

Permit Number:
LAN421
Status:
Transitioned to Practice Authority
This license transitioned to a practice authority pursuant to 32 M.R.S., Chapter 143
Expiration Date:
10/28/2018
Licensed By:
Schooling

Mailing:
WEST BATH, ME 04530

History

License Type Start Date End Date
LOCAL ANESTHESIA PERMIT 06/04/2007 10/27/2018

License/Disciplinary Action

None.

NITROUS OXIDE ANALGESIA PERMIT

Permit Number:
NOX727
Status:
Transitioned to Practice Authority
This license transitioned to a practice authority pursuant to 32 M.R.S., Chapter 143
Expiration Date:
10/28/2018
Licensed By:
Schooling

Mailing:
WEST BATH, ME 04530

History

License Type Start Date End Date
NITROUS OXIDE ANALGESIA PERMIT 06/05/2007 10/27/2018

License/Disciplinary Action

None.

GENERAL INFORMATION

Education

Type Completion Date Hours Provider
HYGIENIST SCHOOLING 05/15/2007 Not Available UMA
HYGIENIST SCHOOLING 05/12/2007 Not Available UMA-DENTAL HEALTH PROGRAM
HYGIENIST SCHOOLING 04/27/2007 Not Available UMA

The Office of Professional and Occupational Regulation is providing information about this licensee as a public service. The information on this page is a secure, primary source for license verification. The information on this page is maintained by Office staff and is updated immediately upon a change to our licensing database. The information may not show a complete history. Licensing history prior to January 1, 2000 is unavailable online.

If you need further information, contact us directly.

Date: 05/01/2025 05:33:39 PM