NICOLE BRUBAKER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035468

License Status

ACTIVE

Business

Title

DMD

First Name

NICOLE

Last Name

BRUBAKER

Business Name

NICOLE BRUBAKER DMD

Original Issue Date

08/15/2024

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

LANARK

State

Zip

61046

County

CARROLL

Ever Disciplined

LastModifiedDate

07/31/2024