NICOLE MARIE BLACK - Dentist License in Illinois | # 020013510

NICOLE MARIE BLACK

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013510

License Status

ACTIVE

Business

N

First Name

NICOLE

Middle

MARIE

Last Name

BLACK

Business Name

NICOLE MARIE BLACK

Original Issue Date

04/22/2011

Effective Date

09/03/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/03/2024