NICOLE M KWAK - Dentist License in Wisconsin | # 020014395

NICOLE M KWAK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014395

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

M

Last Name

KWAK

Business Name

NICOLE M KWAK

Original Issue Date

07/23/2013

Effective Date

09/19/2018

Expiration Date

01/31/2022

State

WI

Ever Disciplined

N

LastModifiedDate

05/09/2022