BETTY JANE NICKLAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000278

License Status

NOT RENEWED

Business

First Name

BETTY JANE

Last Name

NICKLAS

Business Name

BETTY JANE NICKLAS

Original Issue Date

08/06/1956

Effective Date

08/06/1956

City

PALOS VERDES ESTATES

State

Zip

90274

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005