NICOLE MARIE SUDHOLT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028323

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

SUDHOLT

Business Name

NICOLE MARIE SUDHOLT

Original Issue Date

06/08/2010

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

08/16/2024