NICHOLE LANA KANE - Dentist License in New Mexico | # 020012103

NICHOLE LANA KANE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012103

License Status

NOT RENEWED

Business

N

First Name

NICHOLE

Middle

LANA

Last Name

KANE

Business Name

NICHOLE LANA KANE

Original Issue Date

06/19/2007

Effective Date

07/05/2012

Expiration Date

09/30/2015

State

NM

Ever Disciplined

N

LastModifiedDate

04/25/2016