PATRICIA MARIE NICKELL - Dentist License in Arizona | # 020011317

PATRICIA MARIE NICKELL

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011317

License Status

NOT RENEWED

Business

N

First Name

PATRICIA

Middle

MARIE

Last Name

NICKELL

Business Name

PATRICIA MARIE NICKELL

Original Issue Date

06/17/2005

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

AZ

Ever Disciplined

N

LastModifiedDate

11/04/2009