NICOLE RENEE HUMPHREY - Dentist License in Minnesota | # 020008734

NICOLE RENEE HUMPHREY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008734

License Status

NOT RENEWED

Business

N

First Name

NICOLE RENEE

Last Name

HUMPHREY

Business Name

NICOLE RENEE HUMPHREY

Original Issue Date

07/16/1996

Effective Date

07/16/1996

Expiration Date

09/30/2002

State

MN

Ever Disciplined

N

LastModifiedDate

10/17/2005