NICOLE AMBER BAKER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009171

License Status

ACTIVE

Business

First Name

NICOLE

Middle

AMBER

Last Name

BAKER

Business Name

NICOLE AMBER BAKER

Original Issue Date

04/21/1998

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

PLAINVIEW

State

Zip

62685

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/18/2024