NICHOLE MARIE PETTYJOHN - Dentist License in Illinois | # 020010350

NICHOLE MARIE PETTYJOHN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010350

License Status

NOT RENEWED

Business

N

First Name

NICHOLE

Middle

MARIE

Last Name

PETTYJOHN

Business Name

NICHOLE MARIE PETTYJOHN

Original Issue Date

07/01/2002

Effective Date

06/25/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022