PATRICIA MARIE NICKELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011317

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

MARIE

Last Name

NICKELL

Business Name

PATRICIA MARIE NICKELL

Original Issue Date

06/17/2005

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

LAKE HAVASU CITY

State

Zip

86406

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/04/2009