NICCOLE R BROWNFIELD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001080

License Status

NOT RENEWED

Business

First Name

NICCOLE

Middle

Last Name

BROWNFIELD

Suffix

DDS

Business Name

NICCOLE R BROWNFIELD DDS

Original Issue Date

09/15/1997

Effective Date

09/15/1997

Expiration Date

06/30/1999

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005