NANCY JANE NUSTRA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002588

License Status

INACTIVE

Business

First Name

NANCY JANE

Last Name

NUSTRA

Business Name

NANCY JANE NUSTRA

Original Issue Date

07/10/1975

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

11/13/2021