NICOLE ELIZABETH RODBERG - Dentist License in Illinois | # 020007293

NICOLE ELIZABETH RODBERG

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007293

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

ELIZABETH

Last Name

RODBERG

Business Name

NICOLE ELIZABETH RODBERG

Original Issue Date

08/22/1990

Effective Date

10/01/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022